Individual
KIM MICHELE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1001 LAKESIDE AVE E, SUITE 1000, CLEVELAND, OH 44114-1158
(216) 308-1793
(855) 569-4705
Mailing address
PO BOX 704, BRUNSWICK, OH 44212-0704
(330) 606-7296
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
24733
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588005409
—
OH
Enumeration date
07/08/2013
Last updated
07/26/2019
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