MR. KENNETH MICHAEL CUNNINGHAM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1376545202

MR. KENNETH MICHAEL CUNNINGHAM (CRNA) is a healthcare provider. based in Ballwin, Missouri. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 150955 (OH). The NPI Number for MR. KENNETH MICHAEL CUNNINGHAM (CRNA) is 1376545202

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNETH MICHAEL CUNNINGHAM (CRNA)
NPI
1376545202
Phone
(636) 938-6868
Address
13523 BARRETT PARKWAY DRIVE
Enumeration Date
11 August 2005
Last Update Date
28 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4403238515
Graduation Year
1980 (46 years ago)
PAC ID
6103809835
Group Practice PAC ID
7214902170
Professional Enrollment ID
I20040611001150
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for MR. KENNETH MICHAEL CUNNINGHAM (CRNA)

  • 13523 BARRETT PARKWAY DRIVE

    SUITE 104

    BALLWIN, MO 630213802

    Phone: (636) 938-6868

    Fax: (636) 938-1486

    Type: Mailing

  • 5319 HOAG DRIVE

    ELYRIA, OH 440351494

    Phone: (440) 930-6050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214902170View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Anesthesiology AssistantFL
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YSHOUF

Reviews

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Frequently asked questions

How is MR. KENNETH MICHAEL CUNNINGHAM (CRNA) identified in CMS data?
CMS-hosted NPPES data lists MR. KENNETH MICHAEL CUNNINGHAM (CRNA) with NPI 1376545202.
Does CMS list MR. KENNETH MICHAEL CUNNINGHAM (CRNA) as active?
Yes — MR. KENNETH MICHAEL CUNNINGHAM (CRNA) is active in the NPI listing used on this page.
What is MR. KENNETH MICHAEL CUNNINGHAM (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MR. KENNETH MICHAEL CUNNINGHAM (CRNA) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. KENNETH MICHAEL CUNNINGHAM (CRNA)?
MR. KENNETH MICHAEL CUNNINGHAM (CRNA)'s geographic hint is Ballwin, Missouri in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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