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MR. TIMOTHY RICHARD CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
676 S FLOYD ST, LOUISVILLE, KY 40202-1840
(502) 629-2500
(502) 629-4445
Mailing address
9501 DEER TRAIL PL, LOUISVILLE, KY 40228-2488
(502) 224-4494

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3018481
KY

Other

Enumeration date
10/14/2022
Last updated
12/28/2023
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