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Organization

CUMBERLAND GASTROENTEROLOGY, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKI BURNETT APRN (APRN)
(606) 677-2913
Entity
Organization

Contact information

Practice address
56 TOWER CIR, SOMERSET, KY 42503-3476
(606) 677-2913
(606) 677-6983
Mailing address
56 TOWER CIR, SOMERSET, KY 42503-3476
(606) 677-2913
(606) 677-6983

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1110260
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100159420
KY
Enumeration date
07/03/2014
Last updated
07/03/2014
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