Individual
DR. JIMMY EDWARD COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1532 LONE OAK RD, SUITE 143, PADUCAH, KY 42003-7913
(270) 538-6600
(270) 538-6635
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(888) 696-3541
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
03122
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100074840
—
KY
Enumeration date
10/19/2006
Last updated
07/07/2016
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