Cunningham, Kimberly G.

Cunningham, Kimberly G. is an individual health care provider with primary practice located at 2855 Campus Dr , Plymouth MN 55441-2649. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cunningham, Kimberly G. can be contacted via phone (763) 577-7160.

Contact Information

Primary practice address
2855 Campus Dr Plymouth MN 55441-2649
Phone: (763) 577-7160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9379 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.000104 Colorado

Profile Details

NPI number 1558349431
LBN Legal business name Cunningham, Kimberly G.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jun 14th, 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 1558349431 NPPES
Minnesota MEDICAID 762613400

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