# LAKE CUMBERLAND WOMENS HEALTH SPECIALISTS,PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578600367
- **Authorized official:** DR. DALE EDWARD RUTLEDGE I M.D. (PHYSICIAN VP)
- **Authorized official phone:** (606) 678-0705

## Contact information

- **Practice address:** 333 BOGLE ST, SOMERSET, KY 42503-2873
- **Practice address phone:** (606) 678-0705
- **Practice address fax:** (606) 678-2807
- **Mailing address:** 333 BOGLE ST, SOMERSET, KY 42503-2873
- **Mailing address phone:** (606) 678-0705
- **Mailing address fax:** (606) 678-2807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | KY | Yes |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | KY | — |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 04/24/2012