Provider Demographics
NPI:1912294885
Name:CUNNINGHAM, KALEIGH (RD, LDN)
Entity type:Individual
Prefix:
First Name:KALEIGH
Middle Name:
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 HICKORY NUT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-2323
Mailing Address - Country:US
Mailing Address - Phone:815-354-3052
Mailing Address - Fax:
Practice Address - Street 1:8005 HICKORY NUT GROVE RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-2323
Practice Address - Country:US
Practice Address - Phone:815-354-3052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.005453133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered