Individual
KAY T CUNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6100 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-6830
(360) 891-7300
Mailing address
PO BOX 1588, VANCOUVER, WA 98668-1588
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30000950
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9609314
—
WA
Enumeration date
07/08/2006
Last updated
07/08/2007
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