Organization
LAKE CUMBERLAND SURGICAL ASSISTANTS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET W ROBBINS KCSA (PRESIDENT)
(606) 451-0177
Entity
Organization
Contact information
Practice address
420 STILESVILLE RD, SCIENCE HILL, KY 42553-7410
(606) 224-2566
Mailing address
PO BOX 3714, WEST SOMERSET, KY 42564-3714
(606) 224-2566
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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