OrganizationActive
Southern Ky Medical Associates
NPI 1508196262 · Adult Health Clinical Nurse Specialist · Russell Springs, KY
Provider details
- NPI number
- 1508196262
- Entity type
- Organization
- Primary specialty
- Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Angela Cundiff / Roy, Canp
- License
- 2287P (KY)
Practice location
72 Joe T Petty Dr
Russell Springs, KY 42718
Phone: (270) 866-4357
Fax: (270) 858-4957
Mailing address
72 Joe T Petty Dr
Russell Springs, KY 42718
Registry dates
- Enumerated
- 2009-12-31
- Last updated
- 2009-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.