Organization
SOMERSET MEDICAL GROUP PLLC
Active
Other names
Somerset Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD BRENT CHERRY M.D. (OWNER)
(606) 678-4288
Entity
Organization
Contact information
Practice address
10 TOWER CIR, SUITE A, SOMERSET, KY 42503-3476
(606) 678-4288
(606) 678-2230
Mailing address
10 TOWER CIR, SUITE A, SOMERSET, KY 42503-3476
(606) 678-4288
(606) 678-2230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
KY
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000306499
ANTHEM
KY
05
—
64072192
—
KY
05
—
65941122
—
KY
Enumeration date
08/16/2006
Last updated
05/10/2022
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