MEDICARE: KEITH WAYNE CUNNINGHAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25186	AZ

General Provider Information

NPI Number	:	1285796185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEITH WAYNE CUNNINGHAM MD

Provider Business Mailing Address
First Line	:	1526 W GLENDALE AVE STE 104
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-8576
Country	:	US
Telephone Number	:	602-315-9689
Fax Number	:	602-867-1561

Provider Business Practice Location Address
First Line	:	1526 W GLENDALE AVE STE 104
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-8576
Country	:	US
Telephone Number	:	602-867-2838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	07/02/2021

Similar Medicare Providers

1043237654 — DR. JAMES VAUGHN D.D.S.
Practice Location Address:

1526 W GLENDALE AVE STE 104
PHOENIX, AZ
85021-8576

Practice Phone: 602-864-7754
Practice Fax: 602-864-7755

1134132715 — DR. RICHARD R SALB DDS
Practice Location Address:

1526 W GLENDALE AVE STE 101
PHOENIX, AZ
85021-8576

Practice Phone: 602-277-5304
Practice Fax: 602-864-7736

1295846178 — GARY D ORESKOVICH D.D.S.
Practice Location Address:

1526 W GLENDALE AVE , STE.107
PHOENIX, AZ
85021-8576

Practice Phone: 602-995-7279
Practice Fax: 602-995-7244

1629140314 — CHRISTOPHER RAY REAVIS D.M.D
Practice Location Address:

1526 W GLENDALE AVE , SUITE #102
PHOENIX, AZ
85021-8576

Practice Phone: 602-995-0114
Practice Fax: 602-995-1300

1902936677 — DR. WILLIAM J. HEIMANN D.D.S.
Practice Location Address:

1526 W GLENDALE AVE STE 103
PHOENIX, AZ
85021-8576

Practice Phone: 602-864-1080
Practice Fax: 602-864-7036

1245450113 — DR. SCOTT D GOLDMAN DDS
Practice Location Address:

1526 W GLENDALE AVE STE 103
PHOENIX, AZ
85021-8576

Practice Phone: 602-864-1080
Practice Fax:

Directions to “ KEITH WAYNE CUNNINGHAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.