Individual
CAMERON DUGGAR SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3051 RIO DOSA DR, LEXINGTON, KY 40509-1545
(859) 381-7620
(859) 407-4696
Mailing address
1209 GLEN CRST STE 300, LEXINGTON, KY 40502-2800
(859) 381-7620
(859) 407-4696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008543
KY
225100000X
Physical Therapist
PT23427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12335611
CAQH
FL
01
—
593-10712
BCBS OF AL
AL
01
—
BZ179Z
MEDICARE PTAN
FL
01
—
P01170651
MEDICARE RR
FL
01
—
Y08PF
FLORIDA BLUE
FL
Enumeration date
06/30/2006
Last updated
06/28/2023
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