Individual
DR. TRACY SUZZANNE COHOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3950 KRESGE WAY, SUITE 308, LOUISVILLE, KY 40207-4637
(502) 895-8911
(502) 895-8977
Mailing address
3950 KRESGE WAY, SUITE 308, LOUISVILLE, KY 40207-4637
(502) 895-8911
(502) 895-8977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42204
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000592728
BCBS
KY
01
—
000000919568
ANTHEM
KY
05
—
7100068690
—
KY
Enumeration date
02/25/2007
Last updated
07/16/2021
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