Organization
LAKE CUMBERLAND GASTROENTEROLOGY AND INTERNAL MEDICINE ASSOC. INC.
Active
Organization
LAKE CUMBERLAND GASTROENTEROLOGY AND INTERNAL MEDICINE ASSOC. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA ROBACK (OFFICE MANAGER)
(606) 679-7317
Entity
Organization
Contact information
Practice address
110 HARDIN LN, SUITE 9, SOMERSET, KY 42503-3818
(606) 679-7317
(606) 679-0139
Mailing address
110 HARDIN LN, SUITE 9, SOMERSET, KY 42503-3818
(606) 679-7317
(606) 679-0139
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
KY
Other
Enumeration date
01/31/2007
Last updated
06/21/2011
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