Individual
KAYE A CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5653 S HIGHWAY 95, STE A, FORT MOHAVE, AZ 86426-6068
(928) 768-2558
Mailing address
PO BOX 8368, FORT MOHAVE, AZ 86427-8368
(928) 768-2558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28326
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514704
—
AZ
Enumeration date
01/08/2008
Last updated
01/08/2008
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