Individual
MR. TIMOTHY CHARLES CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 93RD ST, KEENE, NH 03431-3748
(603) 357-5270
Mailing address
44 COURT ST, APT. D, KEENE, NH 03431-3406
(603) 852-2762
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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