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Contact Information

CUMBERLAND GASTROENTEROLOGY, P.S.C.
1 SOUTHCREEK DRIVE
MONTICELLO, KY42633
 Phone: 606-677-2913
 Fax: 606-677-6983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CUMBERLAND GASTROENTEROLOGY PSC · (Female)

NPI # 1720160526
Status Active
Credentials
Entity Individual
Enumeration date 10/20/2006
Last updated 03/24/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 2617P
  • KY License # 34871
  • KY Medicaid 64384712
  • KY Medicaid 65933517
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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