Individual
KENJI M. CUNNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7238
(757) 668-8275
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101052560
VA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
0101052560
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003078300
—
MD
05
—
006727123
—
VA
05
—
1000021423
—
DE
05
—
1011209730001
—
PA
05
—
3810000955
—
WV
05
—
790641V
—
NC
Enumeration date
05/10/2006
Last updated
12/07/2009
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