Individual
DR. MICHAEL LEE CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 FOOTHILLS AVE, SUITE 1, ALBANY, KY 42602-1076
(606) 387-6627
(606) 387-4178
Mailing address
127 FOOTHILLS AVE, SUITE 1, ALBANY, KY 42602-1076
(606) 387-6627
(606) 387-4178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23083
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4400716
TENNESSEE MEDICAID
TN
05
—
64230832
—
KY
Enumeration date
05/24/2005
Last updated
05/29/2008
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