Organization
UNIVERSITY OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE LOUISE COOK M.D. (PROFESSOR AND CHAIR)
(502) 271-5999
Entity
Organization
Contact information
Practice address
401 E CHESTNUT ST, SUITE 410, LOUISVILLE, KY 40202-5700
(502) 271-5999
(502) 271-5994
Mailing address
550 S JACKSON ST, UNIVERSITY OF LOUISVILLE DEPT. OF OB/GYN, LOUISVILLE, KY 40202-1622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057500
ANTHEM
KY
05
—
100033630
—
IN
01
—
1049267
PASSPORT SPECIALTY
KY
05
—
65900631
—
KY
05
—
7100023320
—
KY
Enumeration date
05/24/2006
Last updated
10/01/2008
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