DEREK TYLER SUMMERS

LOUISVILLE, KY
NPI1578027843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3013096)
Enumeration Date2019-01-30
Last Update Date2021-12-21
Business Address
DEREK TYLER SUMMERS
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219-3848
Phone number: 502-272-5253
Mailing Address
DEREK TYLER SUMMERS
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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