Kyle T Cummisford, PA-C
NPI #1548754153 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1548754153
- Entity Type
- Individual
- Name
- Kyle T Cummisford, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jun 18, 2018
- Last Updated
- May 9, 2022
Practice Location
- Address
- 1000 N WESTMORELAND RD
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1658
- Phone
- (847) 234-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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