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Individual

TAMMY SUE COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 234-8572
Mailing address
CMR 415 BLDG 475, APO, AE 09114
(314) 590-3241

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1096377
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30605018
KY
Enumeration date
02/15/2007
Last updated
04/19/2024
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