Individual
MS. CHERYL LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 SAINT CHRISTOPHER DRIVE, BUILDING 4, SUITE 101, ASHLAND, KY 41101-7032
(606) 836-0919
(606) 836-2847
Mailing address
900 SAINT CHRISTOPHER DRIVE, BUILDING 4, SUITE 101, ASHLAND, KY 41101-7032
(606) 836-0919
(606) 836-2847
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25781
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049253
ANTHEM BCBS
KY
01
—
000000550498
ANTHEM BCBS
KY
05
—
0665310
—
OH
05
—
64257819
—
KY
Enumeration date
06/08/2005
Last updated
02/18/2011
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