Summers, Kelli Leilani

Summers, Kelli Leilani is an individual health care provider with primary practice located at 1542 Tulane Ave Room 734B, New Orleans LA 70112-2865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Summers, Kelli Leilani can be contacted via phone (504) 568-4748.

Contact Information

Primary practice address
1542 Tulane Ave Room 734B New Orleans LA 70112-2865
Fax: (504) 568-4633
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 330923 Louisiana

Profile Details

NPI number 1255865242
LBN Legal business name Summers, Kelli Leilani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2017
Last updated Oct 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255865242 NPPES
Louisiana MEDICAID 2445553

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