Healthcare Provider Details

I. General information

NPI: 1295726263
Provider Name (Legal Business Name): CHRISTOPHER L SUMME MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 03/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8726 US HIGHWAY 42
FLORENCE KY
41042-9625
US

IV. Provider business mailing address

2300 CHAMBER CENTER DR SUITE 200
LAKESIDE PARK KY
41017-1673
US

V. Phone/Fax

Practice location:
  • Phone: 859-647-2900
  • Fax: 859-647-0140
Mailing address:
  • Phone: 859-344-3945
  • Fax: 859-344-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35070918
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number19785
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: