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NPI Code Detail

MEDICARE: MRS. KIMBERLY M COX OTR/L

MEDICARE: MRS. KIMBERLY M COX OTR/L
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
1225X00000XOccupational TherapistKY-R3181KY

General Provider Information

NPI Number : 1356379747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY M COX OTR/L
Provider Business Mailing Address
First Line : 1410 LONG RUN RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40245-4334
Country : US
Telephone Number : 502-244-8011
Fax Number : 502-244-6631
Provider Business Practice Location Address
First Line : 1410 LONG RUN RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40245-4334
Country : US
Telephone Number : 502-244-8011
Fax Number : 502-244-6631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/08/2007

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