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

Lake Cumberland Physician Practices LLC

Organization Orthopaedic Surgery Physician · NPI 1104261403

Lake Cumberland Physician Practices LLC is an Orthopaedic Surgery Physician in Somerset, Kentucky. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

353 Bogle St Ste B
Somerset, KY 42503-2888
Phone: (606) 678-2663
Fax: (606) 678-0576
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1104261403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Miller — Director · (615) 920-7514
Other names Daniel R Yanicko Jr Md
NPI enumeratedMay 1, 2013
Last updated in NPPESSeptember 27, 2017
Mailing address330 Seven Springs Way, Brentwood, TN 37027

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