Individual
DIANNA COTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
3619 BOSTON RD, BARDSTOWN, KY 40004-9637
(888) 479-3596
(615) 346-9258
Mailing address
3619 BOSTON RD, BARDSTOWN, KY 40004-9637
(888) 479-3596
(615) 346-9258
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
01/02/2009
Last updated
07/21/2016
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