Individual
AMY RENAE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2600 OTTAWA RD, STE101, NEODESHA, KS 66757-1897
(620) 345-2500
(620) 325-2550
Mailing address
119 N 6TH ST, NEODESHA, KS 66757-1519
(620) 325-2500
(620) 325-2550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0531846
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590085900
—
MN
Enumeration date
05/09/2006
Last updated
02/07/2011
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