Kathleen Kelly Cohen, DO | |
411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | |
(509) 633-1753 | |
Not Available |
Full Name | Kathleen Kelly Cohen |
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Gender | Female |
Speciality | Family Medicine |
Location | 411 Fortuyn Rd, Grand Coulee, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922489343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | TP791 (Kentucky) | Secondary |
207Q00000X | Family Medicine | OP61045410 (Washington) | Primary |
Entity Name | Northwest Hospital Medicine Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972056752 PECOS PAC ID: 6406805449 Enrollment ID: O20050208000754 |
Mailing Address | Practice Location Address |
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Kathleen Kelly Cohen, DO Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0330 | Kathleen Kelly Cohen, DO 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1753 |
Jessica Lu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-3644 | |
Jennifer Knox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-1933 | |
Roy Allen Myers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-1933 | |
Charles D Randolph, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-3644 |