Irwin Randell Cohen
Internist - Addiction Medicine
4006 Dutchmans Ln Suite 100
Louisville
, Kentucky 40207-4704
Irwin Randell Cohen
Internist - Addiction Medicine
4006 Dutchmans Ln Suite 100
Louisville
, Kentucky 40207-4704
(502) 241-2892
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Irwin Randell Cohen
- 4307 Glenarm Rd
- Crestwood, KY
- Zip : 40014-9586
- Phone : (502) 241-2892
Second Address
- Irwin Randell Cohen
- 4006 Dutchmans Ln Suite 100
- Louisville, KY
- Zip : 40207-4704
- Phone : (502) 873-7517
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 29908 | KY |
National Provider Identifier
| NPI | 1376547711 |
|---|---|
| Provider Name | Irwin Randell Cohen |
| First Address | Crestwood, KY 40014-9586 |
| Second Address | Louisville, KY 40207-4704 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2005 |
| Last Update Date | 18/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200165860 | (05) | IN |
| 64299084 | (05) | KY |
| G22182 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.