Ka'leria Cunningham, is a
Licensed Practical Nurse based in Wake Village, Texas. Ka'leria Cunningham is licensed to practice in Arkansas (license number 125333) and her current practice location is
442 Carroll Ave, Wake Village, Texas. She can be reached at her office (for appointments etc.) via phone at
(870) 397-2808.
NPI number for Ka'leria Cunningham is 1285234500 and her current mailing address is 442 Carroll Ave, Wake Village, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285234500.
Provider's Profile
| Full Name | Ka'leria Cunningham |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 442 Carroll Ave, Wake Village, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285234500
- Provider Enumeration Date: 10/27/2020
- Last Update Date: 10/27/2020
Medical Identifiers
Medical identifiers for Ka'leria Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285234500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 125333 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ka'leria Cunningham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ka'leria Cunningham,
442 Carroll Ave,
Wake Village, TX 75501-5733
Ph: () - | Ka'leria Cunningham,
442 Carroll Ave,
Wake Village, TX 75501-5733
Ph: (870) 397-2808 |
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