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Individual

MS. ANNETTE M. COXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
KCSA

Contact information

Practice address
2309 BROADMEADE RD, LOUISVILLE, KY 40205-2201
(502) 500-9395
Mailing address
2309 BROADMEADE RD, LOUISVILLE, KY 40205-2201
(502) 500-9395
(502) 637-6386

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
SA046
KY
363AS0400X
Surgical Physician Assistant
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000357381
ANTHEM
KY
Enumeration date
12/21/2006
Last updated
11/03/2014
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