Individual
LOEY J KOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
538 MAIN STREET, PAINTSVILLE, KY 41240
(606) 789-6086
(606) 789-3811
Mailing address
PO BOX 1271, PAINTSVILLE, KY 41240
(606) 789-6086
(606) 789-6202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29671
KY
207R00000X
Internal Medicine Physician
Primary
29671
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244465
BCBS
—
05
—
64296718
—
KY
Enumeration date
09/26/2006
Last updated
01/10/2025
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