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Organization
DUPONT ANESTHESIA PSC
Active
Organization
DUPONT ANESTHESIA PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD H COHEN (M.D.)
(502) 896-6428
Entity
Organization
Contact information
Practice address
4004 DUPONT CIR, LOUISVILLE, KY 40207-4819
(866) 631-7890
Mailing address
PO BOX 91345, LOUISVILLE, KY 40291-0345
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23373
KY
367500000X
Certified Registered Nurse Anesthetist
23373
KY
Other
Enumeration date
07/21/2006
Last updated
05/25/2021
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