Organization
CUMBERLAND FOOT & ANKLE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA J LEE (OFFICE/BUSINESS MANAGER)
(606) 679-2773
Entity
Organization
Contact information
Practice address
117 TRADEPARK DR STE B, SOMERSET, KY 42503-3428
(606) 679-2773
(606) 679-4626
Mailing address
117 TRADEPARK DR, SOMERSET, KY 42503-3428
(606) 679-2773
(606) 679-4626
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
KY
225100000X
Physical Therapist
—
—
293D00000X
Physiological Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100207030
—
KY
05
—
7100234690
—
KY
01
—
CK4991
RAILROAD MEDICARE
KY
Enumeration date
09/21/2007
Last updated
03/16/2022
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