Organization
LAKE CUMBERLAND DISTRICT HEALTH DEPT
Active
Other names
Southwestern High School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN D CRABTREE (EXECUTIVE DIRECTOR)
(606) 678-4761
Entity
Organization
Contact information
Practice address
1765 WTLO RD, SOMERSET, KY 42503-3721
(606) 678-9000
(606) 678-9577
Mailing address
500 BOURNE AVE, SOMERSET, KY 42501-1916
(606) 678-4761
(606) 676-9671
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20100103
—
KY
Enumeration date
02/20/2007
Last updated
08/22/2020
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