Organization
CUMBERLAND ORTHOPAEDIC & SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE M PAGE (BUSINESS MANAGER)
(606) 864-0770
Entity
Organization
Contact information
Practice address
160 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY 40741
(606) 864-0770
Mailing address
PO BOX 2718, LONDON, KY 40743
(606) 864-0770
(606) 878-2452
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90011941
—
KY
Enumeration date
11/30/2006
Last updated
08/22/2020
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