Individual
KEN J CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
(870) 864-2490
Mailing address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
(870) 864-2490
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L46051
AR
Other
Enumeration date
04/27/2011
Last updated
05/05/2011
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