Organization
CUMBERLAND GI, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E SIMONS MD (OWNER/PRESIDENT)
(606) 528-6700
Entity
Organization
Contact information
Practice address
1710 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2727
(606) 528-6700
(606) 528-6513
Mailing address
1710 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2727
(606) 528-6700
(606) 528-6513
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65932063
—
KY
05
—
7100001390
—
KY
Enumeration date
09/02/2005
Last updated
05/09/2017
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