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Individual
TERRY A COHEN
Active
Individual
TERRY A COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
30106
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000744500
ANTHEM- KCNS
KY
05
—
200096000
—
IN
01
—
50035394
PASSPORT- KCNS
KY
05
—
64301062
—
KY
Enumeration date
03/14/2006
Last updated
11/02/2016
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