Cunningham, Kassandra B.

Cunningham, Kassandra B. is an individual health care provider with primary practice located at 10103 Ridgegate Pkwy Ste 103 , Lone Tree CO 80124-5524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cunningham, Kassandra B. can be contacted via phone (303) 645-0090.

Contact Information

Primary practice address
10103 Ridgegate Pkwy Ste 103 Lone Tree CO 80124-5524
Phone: (303) 645-0090
Fax: (303) 645-0092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1962 Colorado

Profile Details

NPI number 1477724672
LBN Legal business name Cunningham, Kassandra B.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Jul 21st, 2022 - about 2 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 1477724672 NPPES
Colorado Other 275747YPNQ MEDICARE
Colorado MEDICAID 57575509 MEDICARE

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