MEDICARE: DR. MICHAEL LEE CUMMINGS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	23083	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871596643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL LEE CUMMINGS MD

Provider Business Mailing Address
First Line	:	127 FOOTHILLS AVE
Second Line	:	SUITE 1
City	:	ALBANY
State	:	KY
Zip	:	42602-1076
Country	:	US
Telephone Number	:	606-387-6627
Fax Number	:	606-387-4178

Provider Business Practice Location Address
First Line	:	127 FOOTHILLS AVE
Second Line	:	SUITE 1
City	:	ALBANY
State	:	KY
Zip	:	42602-1076
Country	:	US
Telephone Number	:	606-387-6627
Fax Number	:	606-387-4178

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	05/29/2008

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