Individual
DR. JACOB LAWRENCE NUNAMAKER IV
Active
Individual
DR. JACOB LAWRENCE NUNAMAKER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
43177
KY
207RI0011X
Interventional Cardiology Physician
TP888
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000693030
ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
01
—
000057080N
HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
05
—
7100107670
—
KY
01
—
P00992197
RAILROAD MEDICARE
KY
Enumeration date
11/08/2006
Last updated
10/17/2019
Update your record
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