Individual
TERANCE ANTHONY CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3706 DIANN MARIE RD, LOUISVILLE, KY 40241-3818
(502) 326-0407
Mailing address
9803 STONEHENGE WAY, LOUISVILLE, KY 40241-2133
(502) 609-1799
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
275941
KY
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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