| Lake Cumberland Physician Practices Llc | |
|
154 Bogle Office Park Dr Suite B Somerset KY 42503 | |
| (606) 451-3958 | |
| Not Available |
| Full Name | Lake Cumberland Physician Practices Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 154 Bogle Office Park Dr, Somerset, Kentucky |
| Authorized Official Name and Position | Kathy Teague (DIRECTOR) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Cumberland Physician Practices Llc 154 Bogle Office Park Dr Suite B Somerset KY 42503-2810 Ph: (606) 451-3958 | Lake Cumberland Physician Practices Llc 154 Bogle Office Park Dr Suite B Somerset KY 42503 Ph: (606) 451-3958 |
| NPI Number | 1386999027 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386999027 | NPI | - | NPPES |
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