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Individual

DR. VICKI ANN CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
678 KICKAPOO SPUR ST, SUITE B, SHAWNEE, OK 74801-4851
(405) 214-7246
(405) 214-7240
Mailing address
678 KICKAPOO SPUR ST, SUITE B, SHAWNEE, OK 74801-4851
(405) 214-7246
(405) 214-7240

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3498
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487854196
NPI GROUP - MEDICARE
OK
01
300522211
MEDICARE LEGACY - GROUP
OK
Enumeration date
03/16/2006
Last updated
03/07/2013
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