Organization
CUMBERLAND FOOT AND ANKLE CENTERS
Active
Other names
Cumberland Bone and Joint
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN E MOORE DPM (ASSOCIATE PARTNER/PODIATRIST)
(606) 679-2773
Entity
Organization
Contact information
Practice address
118 TRADEPARK DR STE B, SOMERSET, KY 42503-3427
(606) 416-5225
(606) 416-5386
Mailing address
117 TRADEPARK DR STE B, SOMERSET, KY 42503-3428
(606) 679-2773
(606) 679-4626
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100207030
—
KY
05
—
7100234690
—
KY
05
—
7100358430
—
KY
Enumeration date
06/26/2017
Last updated
06/26/2017
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