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Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Active
Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Active
Other names
Russell County Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 920-7514
Entity
Organization
Contact information
Practice address
72 JOE T PETTY DR, RUSSELL SPRINGS, KY 42642-8533
(270) 866-7771
(270) 866-7774
Mailing address
PO BOX 719, SOMERSET, KY 42502-0719
(270) 866-7771
(270) 866-7774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/06/2014
Last updated
09/27/2017
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