Individual
MR. SAMUEL JOSEPH COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CN
Contact information
Practice address
4384 CLEARWATER WAY STE 190, LEXINGTON, KY 40515-6493
(859) 403-3385
Mailing address
4384 CLEARWATER WAY STE 190, LEXINGTON, KY 40515-6493
(859) 403-3385
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
289418
KY
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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