Cunningham, Jeffrey L

Cunningham, Jeffrey L is an individual health care provider with primary practice located at 275 Highway 770 , Corbin KY 40701-4732. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cunningham, Jeffrey L can be contacted via phone (606) 526-7874.

Contact Information

Primary practice address
275 Highway 770 Corbin KY 40701-4732
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN1100047/ARNP3927A Kentucky

Profile Details

NPI number 1376596106
LBN Legal business name Cunningham, Jeffrey L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 9th, 2007 - about 17 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376596106 NPPES
Kentucky Other 1225725 CHA HEALTH
Kentucky Other C20336 CHA HEALTH
Kentucky Other 000000383672 CHA HEALTH
Kentucky MEDICAID 74011677 CHA HEALTH

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