Individual
TIMOTHY COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4835 POPLAR LEVEL RD STE 110, LOUISVILLE, KY 40213-2906
(855) 591-0092
Mailing address
725 GRASSY BRANCH RD, ESSIE, KY 40827-7016
(606) 224-7071
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3013512
KY
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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