Individual
MR. COREY MICHAEL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ABRAHAM FLEXNOR WAY, LOUISVILLE, KY 40202-1818
(502) 587-4421
(502) 361-9947
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29465
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063868
PASSPORT
KY
05
—
200206830A
—
IN
05
—
64294655
—
KY
01
—
930059279
RAILROAD MEDICARE
—
Enumeration date
01/10/2006
Last updated
11/23/2020
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