Kimberly Summers, is a
Licensed Practical Nurse based in Carrollton, Illinois. Kimberly Summers is licensed to practice in Illinois (license number 043078572) and her current practice location is
121 S Main St, Carrollton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 939-0236.
NPI number for Kimberly Summers is 1396534871 and her current mailing address is 202 Bruce Dr, White Hall, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396534871.
Provider's Profile
Full Name | Kimberly Summers |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 121 S Main St, Carrollton, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396534871
- Provider Enumeration Date: 05/02/2025
- Last Update Date: 05/02/2025
Medical Identifiers
Medical identifiers for Kimberly Summers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396534871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043078572 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Summers is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Summers, 202 Bruce Dr, White Hall, IL 62092-1178 Ph: (217) 939-1307 | Kimberly Summers, 121 S Main St, Carrollton, IL 62016-1340 Ph: (217) 939-0236 |
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