Lake Cumberland Physician Practices Llc
Sports Medicine
353 Bogle St, Suite C, Somerset
Kentucky, 42503-2888
606-678-2220 606-451-0595
Lake Cumberland Physician Practices Llc is a Sports Medicine in Somerset, Kentucky. It is located at 353 Bogle St, Suite C, Somerset and it's customer support contact number is 606-678-2220. The authorized person of Lake Cumberland Physician Practices Llc is Sara Miller who is Director of this DME and his contact number is 615-920-7514.
Lake Cumberland Physician Practices Llc is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
DME Supplier Details:
Lake Cumberland Physician Practices Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Lake Cumberland Physician Practices Llc |
| Type: | Sports Medicine |
| Location: | 353 Bogle St, Suite C, Somerset,
Kentucky, 42503-2888 |
| Phone: | 606-678-2220 |
| Fax: | 606-451-0595 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Sara Miller |
| Position: | Director |
| Contact Number: | 615-920-7514 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1700198884 |
| NPI Enumeration Date: | 06 Jul, 2010 |
| NPI Last Update On: | 27 Sep, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Cumberland Physician Practices Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Sports Medicine | | | Primary | |
| Family | | | Secondary | |
| Physician Assistant | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Orthopaedic Surgery | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7100136480 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 330 Seven Springs Way,
Brentwood, Tennessee |
| Zip: | 37027 |
| Phone Number: | 615-920-7780 |
| Fax Number: | 615-920-8775 |
Patients can reach Lake Cumberland Physician Practices Llc at
353 Bogle St, Suite C, Somerset, Kentucky or can
call on customer care at 606-678-2220.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.