Lake Cumberland Neurosurgical Clinic

NPI #1558561696 in Somerset, Kentucky

Provider Information

NPI Number
1558561696
Entity Type
Organization
Organization Name
Lake Cumberland Neurosurgical Clinic
Primary Specialty
Physician Assistant
Enumeration Date
Jul 18, 2007
Last Updated
Jul 18, 2007

Practice Location

Address
350 HOSPITAL WAY
Address 2
SUITE 270
ZIP Code
42503-2872
Phone
(606) 678-9617

Authorized Official

Name
KIA WILSON
Title
OFFICE MANAGER
Phone
(606) 678-9617

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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