Lake Cumberland Physician Practices LLC

NPI #1437440054 in Somerset, Kentucky

Provider Information

NPI Number: 1437440054
Entity Type: Organization
Organization Name: Lake Cumberland Physician Practices LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 30, 2011
Last Updated: Aug 28, 2019

Practice Location

Address: 30 TOWER CIR
City: Somerset
State: Kentucky
ZIP Code: 42503-3476
Phone: (606) 451-8644

Authorized Official

Name: KATHY TEAGUE
Title: SECRETARY / AUTHORIZED OFFICIAL
Phone: (615) 920-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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