SUMMIT WELLNESS CLINIC LLC – Integrative Medicine Physician, NPI 1053099366

SUMMIT WELLNESS CLINIC LLC is a healthcare provider. based in Draper, Utah. specializing in Integrative Medicine Physician. The NPI Number for SUMMIT WELLNESS CLINIC LLC is 1053099366

Main info

Organization
Name
SUMMIT WELLNESS CLINIC LLC
NPI
1053099366
Phone
(801) 702-0386
Address
12397 S 300 E STE 200
Authorized Official
KIMBERLY KERCHER GLASGOW MANAGING MEMBER DC
Enumeration Date
6 July 2023
Last Update Date
6 July 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:2State licenses:0Digital endpointsOther names

Provider Addresses for SUMMIT WELLNESS CLINIC LLC

  • 12397 S 300 E STE 200

    DRAPER, UT 840208274

    Phone: (801) 702-0386

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84020)

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Frequently asked questions

What is the 10-digit NPI for SUMMIT WELLNESS CLINIC LLC?
SUMMIT WELLNESS CLINIC LLC — NPI 1053099366 — is the standard way to identify this listing.
Is SUMMIT WELLNESS CLINIC LLC listed as active for patients and plans?
The listing shows SUMMIT WELLNESS CLINIC LLC as active in the NPI system.
What healthcare role does SUMMIT WELLNESS CLINIC LLC hold?
Scheduling teams often label SUMMIT WELLNESS CLINIC LLC under Integrative Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SUMMIT WELLNESS CLINIC LLC?
SUMMIT WELLNESS CLINIC LLC's geographic hint is Draper, Utah in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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