Organization Active NPI

Kenneth G Cook MD PSC

  • Family Medicine Physician
  • Paducah, KY
National Provider Identifier
1184933558
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KENNETH G COOK MD PSC
Practice address
225 Medical Center Dr
Suite 208C
Paducah, KY 42003-7914
Phone
(270) 441-4144
Fax
(270) 441-4646
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kenneth Gene Cook, MD
Title
Doctor
Phone
(270) 441-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

225 Medical Center Dr
Suite 208C
Paducah, KY 42003-7914

Mailing address

225 Medical Center Dr
Suite 208C
Paducah, KY 42003-7914
Phone (270) 441-4144

Other identifiers 1

IdentifierTypeStateIssuer
64209158MedicaidKY

National Provider Directory

National Provider Directory

Locations

225 Medical Center Dr
Ste 208C
Paducah, KY 42003
Phone (270) 441-4144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1184933558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 208C",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4144",
            "fax_number": "270-441-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 208C",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4144",
            "fax_number": "270-441-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH G COOK MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "270-441-4144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64209158",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.