Fred Kelly Cunningham in West Lake Hills - Sports Medicine

Fred Kelly Cunningham - NPI 1528038312

Fred Kelly Cunningham is a Sports Medicine in West Lake Hills, Texas. Fred Kelly Cunningham practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Fred Kelly Cunningham is 1528038312. The last update date is 2023-02-14.

Fred Kelly Cunningham's current location address is 5300 Bee Caves Rd Ste 260, West Lake Hills, Texas. You can contact this provider via phone number 5124100767 and fax number 5126497402. The mailing address for Fred Kelly Cunningham is 5300 Bee Caves Rd Ste 260, West Lake Hills, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Fred Kelly Cunningham
Address 5300 Bee Caves Rd Ste 260, West Lake Hills, Texas
Phone Number 5124100767
Fax Number 5126497402
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1528038312
Provider Enumeration Date 2006-01-24
Last Updated Date 2023-02-14

Provider Mailing Address Detail

Address 5300 Bee Caves Rd Ste 260
City West Lake Hills
State Texas (TX)
Post Code 787465226
Phone Number 5124100767
Fax Number 5126497402

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No G4944
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1278600001 TX MEDICARE SUPPLIER NUMBER
131598805 TX --

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FAQs about Fred Kelly Cunningham

What is the unique 10-digit identification code issued to Fred Kelly Cunningham by the Centers for Medicare & Medicaid Services?

The Fred Kelly Cunningham has been assigned the NPI (National Provider Identifier) 1528038312 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Fred Kelly Cunningham is physically located?

The Fred Kelly Cunningham is physically situated at the following address: 5300 Bee Caves Rd Ste 260, West Lake Hills, TX, 787465226.

What is Fred Kelly Cunningham's specialized field of practice, and what is the corresponding taxonomy classification code?

The Fred Kelly Cunningham's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0005X.

When did Fred Kelly Cunningham receive its 1528038312 assignment?

The Fred Kelly Cunningham was assigned its 1528038312 on 2006-01-24, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Fred Kelly Cunningham last refreshed?

The information related to the Fred Kelly Cunningham, including its address, specialty, and other relevant details, was last updated on 2023-02-14.

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