Individual
DR. KYLE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 326-1293
Mailing address
411 DEERFIELD PL, FLORENCE, AL 35630-2962
(678) 414-2195
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.077855
IL
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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