MEDICARE: KAYE A 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	207Q00000X	Family Medicine Physician	14077	NV

General Provider Information

NPI Number	:	1447435417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYE A CUNNINGHAM MD

Provider Business Mailing Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2386
Country	:	US
Telephone Number	:	702-383-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5785 CENTENNIAL CENTER BLVD STE 230
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-7109
Country	:	US
Telephone Number	:	702-383-2273
Fax Number	:	702-383-6266

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

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	06/29/2026

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