Individual
JEFFREY L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
275 HIGHWAY 770, CORBIN, KY 40701-4732
(606) 526-7874
Mailing address
PO BOX 33087, KNOXVILLE, TN 37930-3087
(865) 691-2993
(865) 691-2997
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN1100047/ARNP3927A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383672
ANTHEM BCBS KY
KY
01
—
1225725
CHA HEALTH
KY
05
—
74011677
—
KY
01
—
C20336
CUMBERLAND HEALTHCARE
KY
Enumeration date
05/19/2006
Last updated
07/09/2007
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