Kenneth G. Cook, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20915 Issued in KY

Practice address

225 Medical Center Drive
Suite 208-C Dr. Kenneth C Cook, M.D., PSC
Paducah, KY 42003

Phone

(270) 441-4144

Fax

(270) 441-4646

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1720169501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 208-C DR. KENNETH C COOK, M.D., PSC",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "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 DRIVE",
            "address_2": "SUITE 208-C DR. KENNETH C COOK, M.D., PSC",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-441-4144",
            "fax_number": "270-441-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KENNETH",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "20915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64209158",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Consolidated Resources Health Care Fund I, L.P.
• Contemporary OBGYN of Western Kentucky PSC
• Continuecare Hospital at Baptist Health Paducah, Inc.
• William R Conyer, MD
• Amy Katherine Cook, CRNA
• Brenda Carolyn Cooper, RNC,ARNP
• Emrie Claire Cooper, MSOT
• Felicia Cooper
• Jennifer Amanda Cooper, PHARMD
• Kimberly Cooper, PSS

• Family Medicine Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.