Organization
OHANA CARE OF LAKE CUMBERLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BETH PENCE (OWNER/APRN)
(606) 331-5328
Entity
Organization
Contact information
Practice address
310 W COLUMBIA ST, SOMERSET, KY 42501-1618
(606) 331-5328
(859) 207-6700
Mailing address
650 S HIGHWAY 27 # 308, SOMERSET, KY 42501-3501
(606) 331-5328
(859) 207-6700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386051068
NPI INDIVIDUAL
KY
Enumeration date
11/28/2022
Last updated
11/04/2025
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