Individual
SAMANTHA L COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
23997
WV
208000000X
Pediatrics Physician
35121764
OH
208000000X
Pediatrics Physician
TP509
KY
208M00000X
Hospitalist Physician
Primary
TP509
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3065918
—
OH
05
—
38100187091
—
WV
05
—
7100125530
—
KY
Enumeration date
07/16/2007
Last updated
11/12/2024
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