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Individual

VERNON DALE COOK, JR.

Active
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Individual

VERNON DALE COOK, JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
27624
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047616
ANTHEM FOUNDATION
KY
01
—
000000062432
ANTHEM - PSC
KY
05
—
100332360
—
IN
01
—
1049364
PASPORT PCP - FOUNDATION
KY
01
—
1049370
PASSPORT SPECIALITY - FOUNDATION
KY
01
—
1049373
PASSPORT SPECIALITY - PSC
KY
05
—
64276249
—
KY
Enumeration date
07/17/2006
Last updated
05/18/2016
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