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Individual

KENNETH T MCCOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5956
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02902
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
02902
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64102817
KY
Enumeration date
10/06/2006
Last updated
04/14/2008
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