Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 00422 | KY |
NPI | 1043629439 |
---|---|
Provider Name | Dr. Joshua Coger |
First Address | Shepherdsville, KY 40165-7467 |
Second Address | Shepherdsville, KY 40165-7467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2014 |
Last Update Date | 17/03/2018 |