Individual
MS. ANNETTE M. COXON
Active
Individual
MS. ANNETTE M. COXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KCSA
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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