Lake Cumberland Neurosurgical Clinic Psc

NPI #1548318553 in Somerset, Kentucky

Provider Information

NPI Number: 1548318553
Entity Type: Organization
Organization Name: Lake Cumberland Neurosurgical Clinic Psc
Primary Specialty: Neurological Surgery
Enumeration Date: Jan 8, 2007
Last Updated: Jul 23, 2014

Practice Location

Address: 75 HAIL KNOB RD
City: Somerset
State: Kentucky
ZIP Code: 42503-3434
Phone: (606) 678-9617

Authorized Official

Name: DR. AMR O EL-NAGGAR, M.D.
Title: PRESIDENT
Phone: (606) 678-9617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Nurse Practitioner	363L00000X
Neurological Surgery	207T00000X	Primary

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