Individual
MRS. ANGELA YVONNE CUNDIFF-ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
72 JOE T. PETTEY DR., RUSSELL SPRINGS, KY 42642
(270) 866-4357
(270) 858-4957
Mailing address
PO BOX 1383, RUSSELL SPRINGS, KY 42642-1383
(270) 866-4357
(270) 858-4957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2287P
KY
363L00000X
Nurse Practitioner
2287P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78001266
—
KY
Enumeration date
01/25/2006
Last updated
02/22/2011
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