Cunningham, Kimberly G

Cunningham, Kimberly G is an individual health care provider with primary practice located at 11850 Blackfoot St Nw Ste 130 , Coon Rapids MN 55433-2583. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cunningham, Kimberly G can be contacted via phone (763) 236-9000.

Contact Information

Primary practice address
11850 Blackfoot St Nw Ste 130 Coon Rapids MN 55433-2583
Phone: (763) 236-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9379 Minnesota

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 Apr 25th, 2025 - about last year

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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