Individual
KENNETH BRENT KUMMERFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 S FLEISHEL AVE STE 4000, TYLER, TX 75701-2015
(903) 606-7525
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
F4185
TX
207RI0011X
Interventional Cardiology Physician
Primary
F4185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033371305
UNITED HEALTHCARE
TX
05
—
123074004
—
TX
01
—
4416261
AETNA
TX
01
—
752616977007
TRICARE
TX
01
—
89425J
BCBS
TX
Enumeration date
09/13/2005
Last updated
07/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us