MEDICARE: SUMMERS KIMBROUGH MCMURRAY PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	2830	TN

General Provider Information

NPI Number	:	1831377753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMMERS KIMBROUGH MCMURRAY PSYD

Provider Business Mailing Address
First Line	:	9724 KINGSTON PIKE STE 602
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-6900
Country	:	US
Telephone Number	:	865-219-3499
Fax Number	:

Provider Business Practice Location Address
First Line	:	9724 KINGSTON PIKE STE 602
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-6900
Country	:	US
Telephone Number	:	865-219-3499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2008
Last Update Date	:	03/18/2026

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