Individual
JONATHAN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 367-3360
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 367-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35482
FL
207Q00000X
Family Medicine Physician
Primary
ME166231
FL
207Q00000X
Family Medicine Physician
TP317
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2020
Last updated
04/08/2025
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