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Individual

ADAM WAYNE CUMMINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
210 E GRAY ST STE 900, LOUISVILLE, KY 40202-3905
(502) 584-7525
(502) 584-6851
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3007770
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000882175
ANTHEM-NLSC
KY
01
163574
SIHO-NLSC
KY
01
50074035
PASSPORT-NLSC
KY
05
7100238180
KY
01
K078320
MEDICARE
KY
Enumeration date
01/31/2013
Last updated
04/07/2025
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