Individual
VERNON DALE COOK, JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, STE 401, LOUISVILLE, KY 40202-5700
(502) 588-4400
(502) 588-4401
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0329
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
27624
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047616
ANTHEM FOUNDATION
KY
01
—
000000062432
ANTHEM - PSC
KY
05
—
100332360
—
IN
01
—
1049364
PASPORT PCP - FOUNDATION
KY
01
—
1049370
PASSPORT SPECIALITY - FOUNDATION
KY
01
—
1049373
PASSPORT SPECIALITY - PSC
KY
05
—
64276249
—
KY
Enumeration date
07/17/2006
Last updated
05/18/2016
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