Provider Demographics
NPI:1023077724
Name:CUMMINGS, KEVIN LEONE (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:LEONE
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3607 MESQUITE BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-8734
Mailing Address - Country:US
Mailing Address - Phone:703-835-4439
Mailing Address - Fax:
Practice Address - Street 1:301 ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:FORT RUCKER
Practice Address - State:AL
Practice Address - Zip Code:36362-5333
Practice Address - Country:US
Practice Address - Phone:800-261-7193
Practice Address - Fax:334-255-7710
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2019-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101239559207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine