Dr. Kegan James Cunniff, MD
Physical Medicine & Rehabilitation in Missoula, MT. Individual provider (NPI-1).
NPI number1669969739
StatusActive
Last updated in NPPESSep 11, 2023
Details
- NPI
- 1669969739
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kegan James Cunniff
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2018
- Certification date
- Sep 11, 2023
- Last updated
- Sep 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MED-PHYS-LIC-127558 | MT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2360 Mullan Rd Ste CMissoula, MT 59808-1811
Phone 406-721-4436 · Fax 406-721-6053
Mailing address
2360 Mullan Rd Ste CMissoula, MT 59808-1811
Phone 406-721-4436 · Fax 406-721-6053
Other practice locations
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Dallas, TX 75390-7201
Phone 214-648-3111
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All 11 Physical Medicine & Rehabilitation Physician providers in Missoula · All 4,716 providers in Missoula
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