Individual
DR. STEPHEN A CAWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 893-1084
(502) 894-1324
Mailing address
100 MALLARD CREEK RD, SUITE 406, LOUISVILLE, KY 40207-4194
(502) 896-1881
(502) 895-4586
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31279
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057464
ANTHEM PROV ID#
KY
01
—
1054503
PASSPORT PROV ID#
KY
05
—
64312796
—
KY
Enumeration date
01/12/2006
Last updated
04/11/2014
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