Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Active
Other names
Ear Nose & Throat Specialist of South Central Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 920-7514
Entity
Organization
Contact information
Practice address
143A BOGLE OFFICE PARK DR, SOMERSET, KY 42503-2810
(606) 451-3890
(606) 451-3896
Mailing address
143A BOGLE OFFICE PARK DR, SOMERSET, KY 42503-2810
(606) 451-3890
(606) 451-3896
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/13/2009
Last updated
09/27/2017
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