Kummerfeld, Kenneth Brent

Kummerfeld, Kenneth Brent is an individual health care provider with primary practice located at 703 S Fleishel Ave Ste 4000 , Tyler TX 75701-2015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kummerfeld, Kenneth Brent can be contacted via phone (903) 606-7525.

Contact Information

Primary practice address
703 S Fleishel Ave Ste 4000 Tyler TX 75701-2015
Phone: (903) 606-7525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X F4185 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X F4185 Texas

Profile Details

NPI number 1861487274
LBN Legal business name Kummerfeld, Kenneth Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 18th, 2023 - about 2 years ago

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 1861487274 NPPES
Texas Other 89425J BCBS
Texas Other 4416261 BCBS
Texas Other 033371305 BCBS
Texas MEDICAID 123074004 BCBS
Texas Other 752616977007 BCBS

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