NPI 1376547711 · live from the CMS NPI Registry
Irwin Randell Cohen
Internal Medicine, Addiction Medicine in Louisville, KY. National Provider Identifier 1376547711, active.
NPI record
| NPI | 1376547711 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Addiction Medicine 207RA0401X |
| Practice location | 4006 Dutchmans Ln, Suite 100, Louisville, KY 40207 |
| Practice phone | 502-873-7517 |
| Mailing address | 4307 Glenarm Rd, Crestwood, KY 40014 |
| Enumerated | June 13, 2005 |
| Last updated | February 18, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 29908 (KY) |
| Radiology, Diagnostic Radiology | 2085R0202X | 2011000734 (MO) |
| Internal Medicine, Addiction Medicine primary | 207RA0401X | 29908 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.