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Individual

TODD M COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
125 ST. MICHAEL DRIVE, COLD SPRING, KY 41076-9999
(859) 781-4111
(859) 441-5214
Mailing address
334 THOMAS MORE PKWY, SUITE 200, CRESTVIEW HILLS, KY 41017-3464
(859) 781-4111
(859) 441-5214

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18151
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0498171
OH
01
080092536
RAILROAD MEDICARE
KY
05
64181514
KY
01
P00839857
RAILROAD MEDICARE
KY
Enumeration date
05/31/2006
Last updated
09/21/2010
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