Individual
MELONY JOY CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4229 RIDGEWATER DR, LEXINGTON, KY 40515-6010
(859) 797-7849
Mailing address
4101 TATES CREEK CENTRE DR STE 150, LEXINGTON, KY 40517-3096
(859) 797-7849
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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