NPI 1003677121

Samuel Adam Cundiff, PAC

Practitioner Physician Assistant Lexington, KY

Practice location

Address: 1350 Bull Lea Rd, Lexington, KY 40511-1247
Phone: (859) 246-8000
Fax: (859) 246-8032
Mailing address: 2781 Ruby River Dr APT 1103, Lexington, KY 40511-6524

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA3445 (KY)

Other Physician Assistant providers in Kentucky →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA3445 (KY)

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA3445 (KY)

Registry record

NPI: 1003677121
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2024
Record last updated: 10 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.