Individual provider · Type 1 NPI
Kimberly Summers
Licensed Practical Nurse · Carrollton, IL
NPI number
1396534871
Active
Practice location
121 S Main St
Carrollton, IL 62016-1340
Mailing address
202 Bruce Dr
White Hall, IL 62092-1178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 043078572 (IL) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1396534871
Kimberly Summers's National Provider Identifier is 1396534871, issued on May 2, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Carrollton, IL. The record was last updated on May 2, 2025.