Individual
JONATHAN DARRELL COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1532 LONE OAK RD, SUITE 143, PADUCAH, KY 42003-7913
(270) 538-6700
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102
(419) 251-2032
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
03961
KY
207T00000X
Neurological Surgery Physician
AS2593778-C17
NJ
Other
Enumeration date
05/12/2009
Last updated
09/26/2022
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