Individual
MR. KENNETH G. COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 MEDICAL CENTER DRIVE, SUITE 208-C DR. KENNETH C COOK, M.D., PSC, PADUCAH, KY 42003
(270) 441-4144
(270) 441-4646
Mailing address
225 MEDICAL CENTER DRIVE, SUITE 208-C DR. KENNETH C COOK, M.D., PSC, PADUCAH, KY 42003
(270) 441-4144
(270) 441-4646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20915
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64209158
—
KY
Enumeration date
10/18/2006
Last updated
12/22/2009
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