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Individual

KACI L CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1330 CLARK ST, CAMBRIDGE, OH 43725-9614
(740) 891-9000
(740) 891-9001
Mailing address
1330 CLARK ST, CAMBRIDGE, OH 43725-9614
(740) 891-9000

Taxonomy

Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
34.014541
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2017
Last updated
05/04/2022
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