Individual
DR. SUSAN C COVENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
34658
KY
207ZP0213X
Pediatric Pathology Physician
34658
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049668
ANTHEM BLUE CROSS BS
KY
01
—
1087837
PASSPORT MEDICAID
KY
01
—
1337243
UNITED MINE WORKERS
—
05
—
200206670A
—
IN
05
—
64346588
—
KY
01
—
P00211997
RAILROAD MEDICARE
—
Enumeration date
07/11/2006
Last updated
02/22/2021
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