Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Eilleen Cunningham, MD

Individual provider Family Medicine Physician · NPI 1457491227

Kelly Eilleen Cunningham, MD is a Family Practice in Southlake, Texas. Graduated from University of New Mexico School of Medicine in 2003, 23 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
23
Trained at
University of New Mexico School of Medicine
Licensed in
TX
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

731 E Southlake Blvd Ste 100
Southlake, TX 76092-6377
Phone: (817) 912-8800
Fax: (817) 912-8810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N7410 (TX)

Record details

NPI number1457491227
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 8, 2007
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023
Mailing address731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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