Individual
CAROLYN A CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 W MARKET ST, SUITE 2, LOUISVILLE, KY 40202-1332
(502) 587-8000
(502) 583-8001
Mailing address
100 W MARKET ST, SUITE 2, LOUISVILLE, KY 40202-1332
(502) 587-8000
(502) 583-8001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
00610
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3000610
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052084
ANTHEM
KY
05
—
200204010
—
IN
05
—
78006103
—
KY
Enumeration date
07/15/2006
Last updated
02/13/2026
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