Individual
PROF. KENDRA CELESTE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, MA
Contact information
Practice address
1243 PINE ST, AUGUSTA, GA 30901-3334
(678) 887-8706
Mailing address
512 WEATHERLY DR, STONE MOUNTAIN, GA 30083
(678) 887-8706
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
077864
GA
Other
Enumeration date
06/18/2007
Last updated
07/20/2020
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