Individual
TONYA R COHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
593 E MAIN ST, FRANKFORT, KY 40601-2332
(502) 223-0308
(502) 227-5764
Mailing address
4119 BROWNS LN, STE 1, LOUISVILLE, KY 40220-1500
(502) 451-9296
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA648
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100173200
—
KY
Enumeration date
03/13/2007
Last updated
10/05/2020
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