Individual
CHRIS KOFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3104 BLACKISTON BLVD, NEW ALBANY, IN 47150-9579
(502) 693-6477
(502) 243-3177
Mailing address
PO BOX 482, CRESTWOOD, KY 40014-0482
(502) 693-6477
(502) 243-3177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35781
KY
208100000X
Physical Medicine & Rehabilitation Physician
01056895A
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
35781
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64062441
—
KY
Enumeration date
10/23/2007
Last updated
05/04/2026
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