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Individual

ELIZABETH KENDRICK CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
31 SEYMOUR ST, 204A, HARTFORD HOSPITAL ORTHOPEDICS DEPT-BJI PREPARE CENTER, HARTFORD, CT 06106-5521
(860) 972-0475
Mailing address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(248) 660-1220

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000310
CT
363A00000X
Physician Assistant
Primary
50.008893RX
OH
363AM0700X
Medical Physician Assistant
MA

Other

Enumeration date
08/30/2006
Last updated
12/17/2024
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