Organization
KENNETH G COOK MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH GENE COOK MD (DOCTOR)
(270) 441-4144
Entity
Organization
Contact information
Practice address
225 MEDICAL CENTER DR, SUITE 208C, PADUCAH, KY 42003-7914
(270) 441-4144
(270) 441-4646
Mailing address
225 MEDICAL CENTER DR, SUITE 208C, PADUCAH, KY 42003-7914
(270) 441-4144
(270) 441-4646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64209158
—
KY
Enumeration date
10/01/2010
Last updated
10/01/2010
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