Provider Demographics
NPI:1710989892
Name:COX, SARAH (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 KRESGE WAY
Mailing Address - Street 2:STE 324
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4698
Mailing Address - Country:US
Mailing Address - Phone:502-894-4408
Mailing Address - Fax:502-894-9775
Practice Address - Street 1:4001 KRESGE WAY
Practice Address - Street 2:STE 324
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4698
Practice Address - Country:US
Practice Address - Phone:502-894-4408
Practice Address - Fax:502-894-9775
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY25844174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0744701Medicare PIN
KYC66564Medicare UPIN