Southern Ky Medical Associates

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

2287P Issued in KY

Legal business name

SOUTHERN KY MEDICAL ASSOCIATES

Practice address

72 Joe T Petty Dr
Russell Springs, KY 42718

Phone

(270) 866-4357

Fax

(270) 858-4957

NPI assigned

Dec 31, 2009

Last updated

Dec 31, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Cundiff / Roy, MSN , CANPNPI 1821068552

Title

Canp

Phone

(270) 866-4357

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Yvonne Cundiff-Roy, ARNP

  • Internal Medicine Physician
  • Russell Springs, KY
  • NPI 1821068552
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1508196262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 JOE T PETTY DR",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "42718",
            "telephone_number": "270-866-4357",
            "fax_number": "270-858-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 JOE T PETTY DR",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "42718",
            "telephone_number": "270-866-4357",
            "fax_number": "270-858-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN KY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF / ROY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CANP",
        "authorized_official_telephone_number": "270-866-4357",
        "authorized_official_credential": "MSN , CANP"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "KY",
            "license": "2287P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skc1010 LLC
• Johnny R Skeese III, RPH
• Emily Jo Sneed, PHARMD
• Carol Annette Southard, M.S. CCC/SLP
• Southern Kentucky Medical Associates, PSC
• Sparc Transit Services LLC
• Stirrup Change, LLC
• Kimberly Brooke Stonecypher
• Beverly A Szukis, APRN
• T J Health Columbia Inc (T J Health Russell Springs)

• Adult Health Clinical Nurse Specialist in Russell Springs, KY
• Providers in Russell Springs, KY by specialty
• Adult Health Clinical Nurse Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.