Kathy L Summerfield, ARNP

Individual provider Active NPI Family Nurse Practitioner · Flatwoods, KY

NPI 1487842704 · NPPES record last updated Jan 8, 2016

Key facts

NPI
1487842704
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
5119P (KY)
Practice address
1107 Bellefonte Rd
Flatwoods, KY 41139-2503
Phone
(606) 834-0125
Fax
(606) 834-0128
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5119PKYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5119P KY Yes

Addresses

Primary practice location

1107 Bellefonte Rd
Flatwoods, KY 41139-2503

Mailing address

2201 Lexington Ave
PO Box 1595
Ashland, KY 41101-2843
Phone (606) 327-4807

Other providers in Flatwoods, KY

All providers in Flatwoods, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.