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NPI Code Detail

MEDICARE: SUMMER WATKINS

MEDICARE: SUMMER WATKINS
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1861324279
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER WATKINS
Provider Business Mailing Address
First Line : 104 S FRONT AVE
Second Line :
City : PRESTONSBURG
State : KY
Zip : 41653-1614
Country : US
Telephone Number : 606-886-8572
Fax Number : 606-886-4433
Provider Business Practice Location Address
First Line : 104 S FRONT AVE
Second Line :
City : PRESTONSBURG
State : KY
Zip : 41653-1614
Country : US
Telephone Number : 606-886-8572
Fax Number : 606-886-4433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

Similar Medicare Providers

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1841123809 — RACHEL HINKLE
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PRESTONSBURG, KY
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1821920232 — JESSICA ZORNES
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Directions to “ SUMMER WATKINS ” Practice Location

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