Organization
LAKE CUMBERLAND NEUROSURGICAL CLINIC
Active
Other names
Lake Cumberland Neurosurgical Clinic - PA
Organization subpart
No
Provider details
NPI number
Authorized official
KIA WILSON (OFFICE MANAGER)
(606) 678-9617
Entity
Organization
Contact information
Practice address
350 HOSPITAL WAY, SUITE 270, SOMERSET, KY 42503-2872
(606) 678-9617
Mailing address
350 HOSPITAL WAY, SUITE 270, SOMERSET, KY 42503-2872
(606) 678-9617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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