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MRS. KHANISA CUNNINGHAM CRC
NPI 1720747918
Driver in Maumee, OH

Active since December 15, 2021
715 KINGSBURY ST, MAUMEE, OH 43537(937) 219-3394(866) 203-4192 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Khanisa Cunningham Crc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KHANISA CUNNINGHAM CRC (NPI 1720747918) is an individual driver provider in Maumee, Ohio, licensed in Ohio (SL171281) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1720747918
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameMRS. KHANISA CUNNINGHAMCredential: CRC
Location Address715 KINGSBURY STMaumee, OH 43537-1823
Mailing Address8569 Stone Oak DrHolland, OH 43528-8197 · (937) 219-3394 · Fax (866) 203-4192
Phone(937) 219-3394
Fax(866) 203-4192
Sole ProprietorYes
Enumeration DateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1720747918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in OH · SL171281
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
715 KINGSBURY ST, Maumee, OH 43537
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khanisa Cunningham's NPI number?

The NPI number for Khanisa Cunningham is 1720747918. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Where is Khanisa Cunningham located?

Khanisa Cunningham practices at 715 Kingsbury St, Maumee, OH 43537. The listed phone number is (937) 219-3394.

What is Khanisa Cunningham's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Khanisa Cunningham was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.