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NPI Code Detail

MEDICARE: DR. BENJAMIN THOMAS CUNNINGHAM M.D.

MEDICARE:  DR. BENJAMIN THOMAS CUNNINGHAM  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician48100KY

General Provider Information

NPI Number : 1306102769
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN THOMAS CUNNINGHAM M.D.
Provider Business Mailing Address
First Line : 1201 PLEASANT VALLEY RD
Second Line :
City : OWENSBORO
State : KY
Zip : 42303-9811
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 PLEASANT VALLEY RD
Second Line :
City : OWENSBORO
State : KY
Zip : 42303-9811
Country : US
Telephone Number : 502-417-3791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2012
Last Update Date : 02/12/2026

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Directions to “ DR. BENJAMIN THOMAS CUNNINGHAM M.D.” Practice Location

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