Macean Isaiah Cook

NPI #1255897435 in Hebron, Kentucky

Provider Information

NPI Number: 1255897435
Entity Type: Individual
Name: Macean Isaiah Cook
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 13, 2019
Last Updated: Feb 13, 2019

Practice Location

Address: 3299 KINGSLEY DR
City: Hebron
State: Kentucky
ZIP Code: 41048-8696
Phone: (859) 835-0119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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