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Individual

KENNETH BRIAN COX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
KCSA

Contact information

Practice address
4123 DUTCHMANS LN STE 607, LOUISVILLE, KY 40207-4725
(502) 899-6479
(502) 899-6479
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA083
KY
246ZS0410X
Surgical Technologist
SA083
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SA083
STATE LICENSE
KY
Enumeration date
12/20/2006
Last updated
01/28/2025
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