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Individual

KATHRYN GRIFFIN CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4140 W MEMORIAL RD STE 208, OKLAHOMA CITY, OK 73120
(405) 749-4230
(405) 749-4228
Mailing address
4140 W MEMORIAL RD STE 208, OKLAHOMA CITY, OK 73120-8300
(405) 749-4230
(405) 749-4228

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
33719
OK
208800000X
Urology Physician
Q4932
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351158601 (MDACC)
TX
01
8FN423
BCBS (MDACC)
TX
Enumeration date
09/17/2012
Last updated
08/03/2018
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