Kendra Celeste Cunningham in Stone Mountain - Licensed Practical Nurse
Kendra Celeste Cunningham - NPI 1861697187
Kendra Celeste Cunningham is a Licensed Practical Nurse in Stone Mountain, Georgia. Kendra Celeste Cunningham practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Kendra Celeste Cunningham is 1861697187. The last update date is 2020-07-20.
Kendra Celeste Cunningham's current location address is 512 Weatherly Dr, Stone Mountain, Georgia. You can contact this provider via phone number 6788878706. The mailing address for Kendra Celeste Cunningham is 512 Weatherly Dr, Stone Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendra Celeste Cunningham |
|---|---|
| Address | 512 Weatherly Dr, Stone Mountain, Georgia |
| Phone Number | 6788878706 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN, MA |
NPI Number Detail
| NPI Number | 1861697187 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2020-07-20 |
Provider Mailing Address Detail
| Address | 512 Weatherly Dr |
|---|---|
| City | Stone Mountain |
| State | Georgia (GA) |
| Post Code | 30083 |
| Phone Number | 6788878706 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 77864 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kendra Celeste Cunningham by the Centers for Medicare & Medicaid Services?
The Kendra Celeste Cunningham has been issued the NPI (National Provider Identifier) 1861697187, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kendra Celeste Cunningham is physically located?
The Kendra Celeste Cunningham is situated at the following address: 512 Weatherly Dr, Stone Mountain, GA 30083.
What is the Kendra Celeste Cunningham's specialty and taxonomy code?
The Kendra Celeste Cunningham's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
When was the Kendra Celeste Cunningham's 1861697187 issued?
The Kendra Celeste Cunningham's 1861697187 was issued on 2007-06-18.
As of what date were the details related to Kendra Celeste Cunningham most recently updated or revised?
The information pertaining to Kendra Celeste Cunningham, including its address, specialty, and other relevant details, was last updated or revised on 2020-07-20.