Individual provider · Type 1 NPI
Khanisa Cunningham, CRC
Driver · Maumee, OH
NPI number
1720747918
Active
Practice location
715 Kingsbury St
Maumee, OH 43537-1823
Fax (866) 203-4192
Mailing address
8569 Stone Oak Dr
Holland, OH 43528-8197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | SL171281 (OH) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Maumee
About NPI 1720747918
Khanisa Cunningham, CRC's National Provider Identifier is 1720747918, issued on Dec 15, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Maumee, OH. The record was last updated on Dec 15, 2021.