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Organization
KAYE A CUNNINGHAM MD PC
Active
Organization
KAYE A CUNNINGHAM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYE AVARANN CUNNINGHAM MD PC (ATTENDING PHYSICIAN)
(928) 768-2558
Entity
Organization
Contact information
Practice address
5653 HWY 95, SUITE A, FORT MOHAVE, AZ 86426
(928) 768-2558
(928) 788-2039
Mailing address
PO BOX 8368, FORT MOHAVE, AZ 86427
(928) 768-2558
(928) 788-2039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A71438
CA
207Q00000X
Family Medicine Physician
Primary
Z8326
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27112533
—
CA
05
—
514704
—
AZ
Enumeration date
08/30/2006
Last updated
08/22/2020
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