Cunningham, Fred Kelly

Cunningham, Fred Kelly is an individual health care provider with primary practice located at 5300 Bee Cave Road Bldg I Ste 260, Austin TX 78746-5226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Cunningham, Fred Kelly can be contacted via phone (512) 410-0767.

Contact Information

Primary practice address
5300 Bee Cave Road Bldg I Ste 260 Austin TX 78746-5226
Phone: (512) 410-0767
Fax: (512) 649-7402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X G4944 Texas

Profile Details

NPI number 1528038312
LBN Legal business name Cunningham, Fred Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Feb 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528038312 NPPES
Texas Other 1278600001 MEDICARE SUPPLIER NUMBER
Texas MEDICAID 131598805 MEDICARE SUPPLIER NUMBER

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