# AMY L COUCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275730152
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2010027317 | MO | Yes |
| 207Q00000X | Family Medicine Physician | 50798 | MN | — |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 05/14/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1275730152 | — | MO |
| 01 | — | P00824264 | RAILROAD MEDICARE | MN |
| 01 | — | P01134582 | RAILROAD MEDICARE | MO |