Individual
DR. KEGAN JAMES CUNNIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
(406) 721-4436
(406) 721-6053
Mailing address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
(406) 721-4436
(406) 721-6053
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MED-PHYS-LIC-127558
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2018
Last updated
09/11/2023
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