SOUTHERN KY MEDICAL ASSOCIATES
NPI 1508196262
Clinical Nurse Specialist - Adult Health in Russell Springs, KY

Q: What is Southern Ky Medical Associates's NPI number?

The NPI number for Southern Ky Medical Associates is 1508196262. It was assigned to this organization in the NPPES registry on December 31, 2009.

Q: What is Southern Ky Medical Associates's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Active since December 31, 2009

72 JOE T PETTY DR, RUSSELL SPRINGS, KY 42718(270) 866-4357(270) 858-4957 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Ky Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN KY MEDICAL ASSOCIATES (NPI 1508196262) is a healthcare organization registered as an adult health in Russell Springs, Kentucky and active in the NPI registry since December 2009. The organization lists Angela Cundiff / Roy, Canp, as its authorized official.

NPPES Registry Identity

NPI1508196262

Entity TypeOrganization

Primary Taxonomy364SA2200X

Legal Business NameSOUTHERN KY MEDICAL ASSOCIATES

Location Address72 JOE T PETTY DRRussell Springs, KY 42718

Mailing Address72 Joe T Petty DrRussell Springs, KY 42718 · (270) 866-4357 · Fax (270) 858-4957

Phone(270) 866-4357

Fax(270) 858-4957

Organization SubpartNo

Authorized OfficialAngela Cundiff / RoyCanp · (270) 866-4357

Enumeration DateDecember 31, 2009

✔ NPI 1508196262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2200X

License✔ Licensed in KY · 2287P

72 JOE T PETTY DR, Russell Springs, KY 42718

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Ky Medical Associates's NPI number?

The NPI number for Southern Ky Medical Associates is 1508196262. It was assigned to this organization in the NPPES registry on December 31, 2009.

Where is Southern Ky Medical Associates located?

Southern Ky Medical Associates is located at 72 Joe T Petty Dr, Russell Springs, KY 42718. The listed phone number is (270) 866-4357.

What is Southern Ky Medical Associates's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Southern Ky Medical Associates was last updated on December 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.