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Contact Information

KELLEY C SUMMERS, PA
7250 CLEARVISTA DR STE 355
INDIANAPOLIS, IN46256
 Phone: 317-621-5676
 Fax: 317-621-5678
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELLEY C SUMMERS · (Female)

NPI Number 1477043495
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/15/2018
Last updated 10/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 10002484A
  • IN Medicaid 300016659
  • IN Other P02085726 RAIDROAD MEDICARE
Hospital affiliation(s)
  • COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY - (Acute Care)
    1515 N MADISON AVE
    ANDERSON, IN 46011
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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