Most Relevant Information
Provider Data
NPI Number: | 1003241639 |
Provider Name: | COURTNEY E COFFEY PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | PA2014 |
Most Important Dates
Enumeration Date: | 09/13/2013 |
Last Updated: | 12/11/2023 |
Provider Practice Location
1 MEDICAL VILLAGE DR
EDGEWOOD
KY
410173403
Practice Location Phone/Fax
Phone: | 8593019010 |
Fax: | 8593019018 |
Provider Mailing Location
375 THOMAS MORE PKWY STE 209
CRESTVIEW HILLS
KY
410172175
Provider Mailing Phone/Fax
Phone: | 8593414842 |
Fax: |