Individual
DR. ANN COFFEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 893-1084
(502) 894-1324
Mailing address
110 EXECUTIVE PARK, LOUISVILLE, KY 40207-4201
(502) 896-1881
(502) 895-4586
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20929
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054505
PASSPORT PROV#
KY
05
—
64209099
—
KY
01
—
ANTHEM
ANTHEM PROV#
KY
Enumeration date
01/12/2006
Last updated
07/09/2007
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