Individual
KEVIN M LUNSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 NEW COVINGTON PIKE, SUITE 200, MEMPHIS, TN 38128-2591
(901) 516-5644
(901) 516-5660
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26401
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116257
—
MS
05
—
3090737
—
TN
01
—
6023310
BCBS
TN
01
—
P01440831
RAILROAD MEDICARE
TN
Enumeration date
02/10/2006
Last updated
04/16/2025
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