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Organization

KC CONE BEAM, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN P. CUNNINGHAM D.D.S. (OWNER)
(913) 599-2228
Entity
Organization

Contact information

Practice address
11900 W 87TH STREET PKWY, SUITE 128, LENEXA, KS 66215-2807
(913) 599-2228
(913) 599-2229
Mailing address
11900 W 87TH STREET PKWY, SUITE 128, LENEXA, KS 66215-2807
(913) 599-2228
(913) 599-2229

Taxonomy

Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
BL13-00155
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BL13-00155
LICENSE
KS
Enumeration date
06/24/2014
Last updated
06/24/2014
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