Cundiff, Sam Adam

Cundiff, Sam Adam is an sole proprietor health care provider with primary practice located at 149 Fallow Cir , Georgetown KY 40324-7007. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cundiff, Sam Adam can be contacted via phone (859) 475-6773.

Contact Information

Primary practice address
149 Fallow Cir Georgetown KY 40324-7007
Phone: (859) 475-6773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1003677121
LBN Legal business name Cundiff, Sam Adam
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2024
Last updated Jan 16th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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