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Individual

TYLER CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
650 E PARKWAY S, MEMPHIS, TN 38104-5568
(901) 321-4122
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-6047
(859) 257-3873

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3272
KY
363A00000X
Physician Assistant
TC006
KY
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
PA3272
KY
363AM0700X
Medical Physician Assistant
TC006
KY
363AS0400X
Surgical Physician Assistant
PA3272
KY
363AS0400X
Surgical Physician Assistant
TC006
KY

Other

Enumeration date
07/05/2022
Last updated
01/10/2024
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