Organization
COGENT HEALTHCARE OF KENTUCKY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FALL (MANAGER)
(253) 682-6040
Entity
Organization
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1818
(502) 569-7983
Mailing address
120 BRENTWOOD COMMONS WAY STE 510, BRENTWOOD, TN 37027-2028
(615) 377-5670
(615) 377-1687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000392108
BCBS KY
KY
05
—
65945123
—
KY
Enumeration date
05/12/2006
Last updated
03/07/2025
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