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Individual

CHARLES MATTHEW COONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34710
SC
207Q00000X
Family Medicine Physician
51820
KY
208M00000X
Hospitalist Physician
Primary
34710
SC
390200000X
Student in an Organized Health Care Education/Training Program
TN

Other

Enumeration date
08/06/2009
Last updated
04/10/2026
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