Kaye A Cunningham Md Pc | |
5653 Hwy 95 Suite A Fort Mohave AZ 86426 | |
(928) 768-2558 | |
(928) 788-2039 |
Full Name | Kaye A Cunningham Md Pc |
---|---|
Speciality | Family Medicine |
Location | 5653 Hwy 95, Fort Mohave, Arizona |
Authorized Official Name and Position | Kaye Avarann Cunningham (ATTENDING PHYSICIAN) |
Authorized Official Contact | 9287682558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kaye A Cunningham Md Pc Po Box 8368 Fort Mohave AZ 86427 Ph: (928) 768-2558 | Kaye A Cunningham Md Pc 5653 Hwy 95 Suite A Fort Mohave AZ 86426 Ph: (928) 768-2558 |
NPI Number | 1053421057 |
---|---|
Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053421057 | NPI | - | NPPES |
514704 | Medicaid | AZ | |
27112533 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | Z8326 (Arizona) | Primary |
207Q00000X | Family Medicine | A71438 (California) | Secondary |
Vista Health Mirza Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874 | |
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