Individual
KATHLEEN KELLY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1753
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61045410
WA
207Q00000X
Family Medicine Physician
TP791
KY
Other
Enumeration date
06/11/2015
Last updated
04/14/2025
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