Individual
CHRISTINE LOUISE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, SUITE 410, LOUISVILLE, KY 40202-5700
(502) 271-5999
(502) 271-5994
Mailing address
550 S JACKSON ST FL ST2, DEPT OB/GYN, LOUISVILLE, KY 40202-1622
(502) 561-2405
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
16317
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045430
ANTHEM PSC
KY
01
—
00000047617
ANTHEM - FOUNDATION
KY
05
—
100332320
—
IN
01
—
1049405
PASSPORT PCP# - FOUNDATION
KY
01
—
1049410
PASSPORT SPECIALITY # - PSC
KY
01
—
1164929
PASSPORT PCP# - FOUNDATION
KY
05
—
64163173
—
KY
Enumeration date
07/24/2006
Last updated
09/29/2008
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