Organization
NANNCOH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE M COHEN (PRESIDENT)
(502) 551-2460
Entity
Organization
Contact information
Practice address
700 ENVOY CIR STE 702, LOUISVILLE, KY 40299-1812
(502) 551-2460
(502) 896-6977
Mailing address
700 ENVOY CIR STE 702, LOUISVILLE, KY 40299-1812
(502) 551-2460
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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