Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Cumberland Pediatrics PLLC

Organization Internal Medicine Physician · NPI 1518406859

Lake Cumberland Pediatrics PLLC is an Internal Medicine Physician in Monticello, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

268 Rolling Hills Blvd
Monticello, KY 42633-9004
Phone: (606) 753-0293
Fax: (606) 753-0291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 900327 (KY)
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1518406859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Brown — Owner · (606) 753-0293
NPI enumeratedFebruary 20, 2017
Last updated in NPPESMay 27, 2022
Certification dateMay 11, 2022
Mailing addressPo Box 1737, N/A, Monticello, KY 42633-4737

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