King, Tyneishia Cunningham

King, Tyneishia Cunningham is an individual health care provider with primary practice located at 1207 E Forrest St Ste 204D , Athens AL 35613-2057. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. King, Tyneishia Cunningham can be contacted via phone (256) 230-5280.

Contact Information

Primary practice address
1207 E Forrest St Ste 204D Athens AL 35613-2057
Phone: (256) 230-5280
Fax: (256) 427-4117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 115157 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-115157 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-115157 Alabama

Profile Details

NPI number 1235788415
LBN Legal business name King, Tyneishia Cunningham
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Mar 28th, 2022 - about 3 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 1235788415 NPPES
Alabama MEDICAID 009937074

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