Organization
CUMBERLAND CARDIOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E PAULUS MD (PRESIDENT)
(606) 324-4743
Entity
Organization
Contact information
Practice address
613 23RD ST, STE 230, ASHLAND, KY 41101-2876
(606) 324-4745
(606) 326-0165
Mailing address
PO BOX 2380, ASHLAND, KY 41105-2380
(606) 324-4745
(606) 326-0165
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
PA682
KY
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214155
—
OH
05
—
3810001838
—
WV
05
—
65926214
—
KY
05
—
78903861
—
KY
Enumeration date
10/25/2005
Last updated
01/22/2008
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