Provider Demographics
NPI:1285424150
Name:CUNNINGHAM, AIMEE SUE
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:SUE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:SUE
Other - Last Name:BOMIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:545 RODEN RD
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-8867
Mailing Address - Country:US
Mailing Address - Phone:606-516-3559
Mailing Address - Fax:
Practice Address - Street 1:545 RODEN RD
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-8867
Practice Address - Country:US
Practice Address - Phone:606-516-3559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula