Organization
LAKE CUMBERLAND WOMENS HEALTH SPECIALISTS,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE EDWARD RUTLEDGE I M.D. (PHYSICIAN VP)
(606) 678-0705
Entity
Organization
Contact information
Practice address
333 BOGLE ST, SOMERSET, KY 42503-2873
(606) 678-0705
(606) 678-2807
Mailing address
333 BOGLE ST, SOMERSET, KY 42503-2873
(606) 678-0705
(606) 678-2807
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
KY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
KY
Other
Enumeration date
01/31/2007
Last updated
04/24/2012
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