MEDICARE: ELMER COX II

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	299133	KY

General Provider Information

NPI Number	:	1770471617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELMER COX II

Provider Business Mailing Address
First Line	:	3313 LEXINGTON RD
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-9524
Country	:	US
Telephone Number	:	859-953-1006
Fax Number	:	859-545-5294

Provider Business Practice Location Address
First Line	:	3313 LEXINGTON RD
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-9524
Country	:	US
Telephone Number	:	859-953-1006
Fax Number	:	859-545-5294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	06/27/2025

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Directions to “ ELMER COX II ” Practice Location

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