Cunningham, Robert Russell

Cunningham, Robert Russell is an sole proprietor health care provider with primary practice located at 333 Bogle St , Somerset KY 42503-2873. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Cunningham, Robert Russell can be contacted via phone (606) 678-0705.

Contact Information

Primary practice address
333 Bogle St Somerset KY 42503-2873
Phone: (606) 678-0705
Fax: (606) 676-2807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 32435 Kentucky

Profile Details

NPI number 1619085925
LBN Legal business name Cunningham, Robert Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2006
Last updated Jun 8th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619085925 NPPES
Kentucky Other 000000108398 BLUE CROSS BLUE SHIELD
Kentucky Other 611371633 BLUE CROSS BLUE SHIELD
Kentucky MEDICAID 64324353 BLUE CROSS BLUE SHIELD

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