Cunningham, Kevin Patrick

Cunningham, Kevin Patrick is an sole proprietor health care provider with primary practice located at 163 E 2Nd St , Corning NY 14830-2801. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cunningham, Kevin Patrick can be contacted via phone (607) 936-4721.

Contact Information

Primary practice address
163 E 2Nd St Corning NY 14830-2801
Phone: (607) 936-4721
Fax: (607) 936-4723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 163463 New York

Profile Details

NPI number 1790821858
LBN Legal business name Cunningham, Kevin Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 18 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 1790821858 NPPES
New York Other 163463 NYS LICENSE
New York MEDICAID 01180405 NYS LICENSE

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