Provider Demographics
NPI:1225520448
Name:COGGINS, KATHY
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:COGGINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 SCHOOL RD APT 8
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:KY
Mailing Address - Zip Code:40823-1117
Mailing Address - Country:US
Mailing Address - Phone:706-988-9279
Mailing Address - Fax:
Practice Address - Street 1:185 MAGGARD STREET
Practice Address - Street 2:
Practice Address - City:BENHAM
Practice Address - State:KY
Practice Address - Zip Code:40807
Practice Address - Country:US
Practice Address - Phone:606-894-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist