Individual
THOMAS D CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6002 BROWNSBORO PARK BLVD, SUITE E, LOUISVILLE, KY 40207-1298
(502) 897-1441
(502) 897-3234
Mailing address
516 BLANKENBAKER LN, LOUISVILLE, KY 40207-1102
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
26468
KY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
26468
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051549
ANTHEM BCBS
—
01
—
1052955
PASSPORT HEALTH (GROUP)
KY
01
—
1052957
PASSPORT HEALTH (INDIVID)
KY
05
—
64264682
—
KY
Enumeration date
08/02/2006
Last updated
05/12/2015
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