Provider Demographics
NPI:1356819494
Name:SUMMERS, KATHY D
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:D
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1229
Mailing Address - Country:US
Mailing Address - Phone:240-401-5949
Mailing Address - Fax:
Practice Address - Street 1:2412 FRANKLIN ST NE APT 110
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-4204
Practice Address - Country:US
Practice Address - Phone:202-276-1415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion