Individual
DR. J'MIR COUSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3618
(859) 572-2326
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01084665A
IN
207P00000X
Emergency Medicine Physician
35.122526
OH
207P00000X
Emergency Medicine Physician
Primary
48123
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104576
—
OH
05
—
201162240
—
IN
05
—
7100368750
—
KY
Enumeration date
04/11/2011
Last updated
05/27/2021
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