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NPI Code Detail

MEDICARE: DR. KENNETH COOK MD

MEDICARE: DR. KENNETH COOK MD
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
12085R0202XDiagnostic Radiology Physician186748-1NY
22085R0202XDiagnostic Radiology Physician23653TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871563155
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH COOK MD
Provider Business Mailing Address
First Line : 1818 ALBION ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37208-2918
Country : US
Telephone Number : 615-341-4743
Fax Number : 615-341-4046
Provider Business Practice Location Address
First Line : 1818 ALBION ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37208-2918
Country : US
Telephone Number : 615-341-4743
Fax Number : 615-341-4046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 07/21/2023

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Directions to “ DR. KENNETH COOK MD” Practice Location

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