Individual
MS. KATHRYN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6600 BRUCEVILLE RD, EMERGENCY DEPARTMENT, SACRAMENTO, CA 95823-4671
(916) 688-2000
Mailing address
6600 BRUCEVILLE RD, EMERGENCY DEPARTMENT, SACRAMENTO, CA 95823-4671
(916) 688-2000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52264
CA
363AM0700X
Medical Physician Assistant
MA052982
PA
Other
Enumeration date
07/12/2007
Last updated
07/14/2016
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