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NPI Code Detail

MEDICARE: DR. KRISTEN CUNNINGHAM D.V.M.

MEDICARE: DR. KRISTEN CUNNINGHAM D.V.M.
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
1174M00000XVeterinarianVM10531FL

General Provider Information

NPI Number : 1710318670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTEN CUNNINGHAM D.V.M.
Provider Business Mailing Address
First Line : 117 SE 31ST AVE
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-8226
Country : US
Telephone Number : 561-267-7869
Fax Number :
Provider Business Practice Location Address
First Line : 127 E WOOLBRIGHT RD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-6007
Country : US
Telephone Number : 561-737-6448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2013
Last Update Date : 12/03/2013

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