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

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 , CANP

Title

Canp

Phone

(270) 866-4357

Specialties & licenses 1

Addresses

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

• 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.