Most Relevant Information
Provider Data
| NPI Number: | 1003549452 |
| Provider Name: | TYLER CUNNINGHAM PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/05/2022 |
| Last Updated: | 01/10/2024 |
Provider Practice Location
650 E PARKWAY S
MEMPHIS
TN
381045568
Practice Location Phone/Fax
| Phone: | 9013214122 |
| Fax: |
Provider Mailing Location
800 ROSE ST
LEXINGTON
KY
405367001
Provider Mailing Phone/Fax
| Phone: | 8593236047 |
| Fax: | 8592573873 |