Kenneth D Cushman in Tyler - Family Medicine
Kenneth D Cushman - NPI 1275506016
Kenneth D Cushman is a Family Medicine in Tyler, Texas. Kenneth D Cushman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth D Cushman is 1275506016. The last update date is 2014-10-13.
Kenneth D Cushman's current location address is 520 East Douglas Blvd, Tyler, Texas. You can contact this provider via phone number 9035931721. The mailing address for Kenneth D Cushman is 520 East Douglas Blvd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth D Cushman |
|---|---|
| Address | 520 East Douglas Blvd, Tyler, Texas |
| Phone Number | 9035931721 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275506016 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2014-10-13 |
Provider Mailing Address Detail
| Address | 520 East Douglas Blvd |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 75702 |
| Phone Number | 9035931721 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | E9483 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 129526304 | TX | -- | |
| CU083Y750 | TX | BCBS | |
| 4540308 | TX | AETNA | |
| 80078392 | TX | MEDICARE RAILROAD | |
| 123043 | TX | CHIPS | |
| 752616977048 | TX | TRICARE CHAMPUS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth D Cushman by the Centers for Medicare & Medicaid Services?
The Kenneth D Cushman has been assigned the NPI (National Provider Identifier) 1275506016 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kenneth D Cushman is geographically located?
The Kenneth D Cushman is physically situated at the following location: 520 East Douglas Blvd, Tyler, TX, 75702.
What is Kenneth D Cushman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth D Cushman's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275506016 to Kenneth D Cushman?
The Centers for Medicare & Medicaid Services assigned the 1275506016 to Kenneth D Cushman on 2006-02-10.
When was the information regarding Kenneth D Cushman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth D Cushman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-10-13.
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