Most Relevant Information
Provider Data
| NPI Number: | 1003677121 |
| Provider Name: | SAMUEL ADAM CUNDIFF PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | TC192 |
Most Important Dates
| Enumeration Date: | 01/16/2024 |
| Last Updated: | 08/20/2024 |
Provider Practice Location
1350 BULL LEA RD
LEXINGTON
KY
405111247
Practice Location Phone/Fax
| Phone: | 8592468000 |
| Fax: | 8592468032 |
Provider Mailing Location
2781 RUBY RIVER DR APT 1103
LEXINGTON
KY
405116524
Provider Mailing Phone/Fax
| Phone: | 8594756773 |
| Fax: |