KENDRICK D SUMMERS — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, IL)
KENDRICK D SUMMERS — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, IL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: KENDRICK D SUMMERS; Type: Individual; NPI: 1003196593.
| Name | KENDRICK D SUMMERS |
|---|---|
| Type | Individual |
| NPI | 1003196593 |
| Provider type | PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE |
| State | IL |
| Enrollment ID | I20181211002585 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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