NPI | 1356569941 |
---|---|
Former Name | KELLY E CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN MD44078) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 59058) |
207R00000X Internal Medicine (Licence: TN 44078) | |
Enumeration Date | 2007-04-22 |
Last Update Date | 2022-03-28 |