Provider Demographics
NPI:1487842704
Name:SUMMERFIELD, KATHY L (ARNP)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:L
Last Name:SUMMERFIELD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 LEXINGTON AVE
Mailing Address - Street 2:PO BOX 1595
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2843
Mailing Address - Country:US
Mailing Address - Phone:606-327-4807
Mailing Address - Fax:606-327-7425
Practice Address - Street 1:1107 BELLEFONTE RD
Practice Address - Street 2:
Practice Address - City:FLATWOODS
Practice Address - State:KY
Practice Address - Zip Code:41139-2503
Practice Address - Country:US
Practice Address - Phone:606-834-0125
Practice Address - Fax:606-834-0128
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5119P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily