Individual
MRS. POLLY CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 WOODWARD RD, GERMANTOWN, KY 41044-9007
(606) 883-3125
(606) 883-3125
Mailing address
4315 WOODWARD RD, GERMANTOWN, KY 41044-9007
(606) 883-3125
(606) 883-3125
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
01978
KY
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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