Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN JEANEEN SUMMERS, NURSE PRACTITIONER
DeactivatedKATHLEEN JEANEEN SUMMERS, NURSE PRACTITIONER is a Adult Health Nurse Practitioner healthcare provider located in KENOSHA, Wisconsin. NPI 1255675799 is deactivated in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · KENOSHA, WI
This NPI has been deactivated.
The record was deactivated on April 15, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1255675799
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2012 (8.3972602739726 yrs)
- Last Updated
- Jun 30, 2021
- Deactivated
- Apr 15, 2021
- Licenses
-
718-19 (WI)10887-33 (WI)
Practice Information
- Address
-
9244 29TH AVEKENOSHA, WI, 531436602Browse WI providers · Browse ZIP 53143
- Phone
- 2626940080
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| IMELDA N FORSBERG | NURSE PRACTITIONER | 1306027891 |
| MS. GAYLE ANN PAQUIN | APNP, ANP-BC | 1841530300 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.