Individual
DR. ANNA KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8121
Mailing address
702 EXECUTIVE PARK, LOUISVILLE, KY 40207-4207
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36680
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300124627
MEDICARE RAILROAD
GA
05
—
64041130
—
KY
Enumeration date
06/04/2006
Last updated
07/13/2021
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