Individual
DR. RONALD M KOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 SO MAIN ST, NEW CASTLE, KY 40050
(502) 845-7550
(502) 845-5551
Mailing address
PO BOX 189, 15 SO MAIN ST, NEW CASTLE, KY 40050
(502) 845-7550
(502) 845-5551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16737
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047169
ANTHEM
KY
01
—
1049483
PASSPORT
KY
05
—
64167372
—
KY
Enumeration date
10/11/2006
Last updated
07/08/2007
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