Cunningham, Kandi Lynn

Cunningham, Kandi Lynn is an individual health care provider with primary practice located at 1200 E Pecan St , Altus OK 73521-6141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cunningham, Kandi Lynn can be contacted via phone (580) 379-6100.

Contact Information

Primary practice address
1200 E Pecan St Altus OK 73521-6141
Fax: (580) 379-6109
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R0044356 Oklahoma

Profile Details

NPI number 1326034778
LBN Legal business name Cunningham, Kandi Lynn
Credentials ARNP-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Sep 6th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326034778 NPPES
Oklahoma MEDICAID 100125470C

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