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Contact Information

ANGELA Y CUNDIFF ROY, ARNP
72 JOE T. PETTEY DR.
RUSSELL SPRINGS, KY42642
 Phone: 270-866-4357
 Fax: 270-858-4957
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANGELA Y CUNDIFF ROY · (Female)

NPI # 1821068552
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 01/25/2006
Last updated 02/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 2287P
  • KY Medicaid 78001266
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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