# KENNETH G COOK MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184933558
- **Authorized official:** DR. KENNETH GENE COOK MD (DOCTOR)
- **Authorized official phone:** (270) 441-4144

## Contact information

- **Practice address:** 225 MEDICAL CENTER DR, SUITE 208C, PADUCAH, KY 42003-7914
- **Practice address phone:** (270) 441-4144
- **Practice address fax:** (270) 441-4646
- **Mailing address:** 225 MEDICAL CENTER DR, SUITE 208C, PADUCAH, KY 42003-7914
- **Mailing address phone:** (270) 441-4144
- **Mailing address fax:** (270) 441-4646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2010
- **Last updated:** 10/01/2010