Individual
DR. KEVIN J CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
401 SW WARD RD, SUITE 204, LEES SUMMIT, MO 64081-2448
(816) 246-1003
(816) 246-9808
Mailing address
1201 W 113TH TER, KANSAS CITY, MO 64114-5259
(816) 943-0760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13728
MO
Other
Enumeration date
12/31/2006
Last updated
07/08/2007
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