Individual
KIMBERLY CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
16712 80TH AVENUE CT E, PUYALLUP, WA 98375-8497
(253) 312-2278
Mailing address
16712 80TH AVENUE CT E, PUYALLUP, WA 98375-8497
(253) 312-2278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61212288
WA
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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