Individual
PHILLIP KYLE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 COWART ST STE 321, CHATTANOOGA, TN 37408-1179
(423) 551-8346
Mailing address
1405 COWART ST STE 321, CHATTANOOGA, TN 37408-1179
(423) 551-8346
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
4771
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4771
STATE LICENSE
TN
Enumeration date
03/28/2017
Last updated
05/01/2026
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