Individual
KEVIN PAUL CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
(931) 461-1302
Mailing address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
(931) 461-1302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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