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Dr. Kenneth D Cushman, MD
Family Medicine Physician in Tyler, Texas
NPI 1275506016

Kenneth D Cushman is a Family Medicine Physician based in Dallas, TX. Kenneth D Cushman practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Kenneth D Cushman is 1275506016 and holds a License No. E9483 (Texas).

The current practice location address for Kenneth D Cushman is 520 East Douglas Blvd, Tyler, TX and can be reached out via phone at 903-593-1721.

Location: 520 East Douglas Blvd, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275506016
Provider Name
Kenneth D Cushman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
520 East Douglas Blvd, Tyler, TX, 75284-6098
Phone Number
903-593-1721
Fax Number
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
129526304 05 TX
CU083Y750 01 TX BCBS
4540308 01 TX AETNA
080078392 01 TX MEDICARE RAILROAD
123043 01 TX CHIPS
752616977048 01 TX TRICARE CHAMPUS
institution
Provider Business Practice Location Address Details
Address
520 East Douglas Blvd
City
Tyler
State
Texas
Zip
75702
Phone Number
903-593-1721
Fax Number
person
Provider Business Mailing Address Details
Address
520 East Douglas Blvd
City
Tyler
State
Texas
Zip
75702
Phone Number
903-593-1721
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
E9483 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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