Individual
MIRIAM SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
716 POPLAR ST, MURRAY, KY 42071-2546
(270) 762-1806
Mailing address
300 S 5TH ST, MURRAY, KY 42071-2514
(615) 692-2016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2221
KY
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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