Provider Demographics
NPI:1295726263
Name:SUMME, CHRISTOPHER L (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:L
Last Name:SUMME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2300 CHAMBER CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAKESIDE PARK
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1673
Mailing Address - Country:US
Mailing Address - Phone:859-344-3945
Mailing Address - Fax:859-344-5552
Practice Address - Street 1:8726 US HIGHWAY 42
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-9625
Practice Address - Country:US
Practice Address - Phone:859-647-2900
Practice Address - Fax:859-647-0140
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2015-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35070918207Q00000X
KY19785207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0762394Medicaid
KY64197858Medicaid
KY64197858Medicaid
OH0762394Medicaid
OH4092988Medicare PIN