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1285295113
TIMOTHY COUCH
LOUISVILLE, KY
NPI
1285295113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3013512)
Enumeration Date
2019-06-21
Last Update Date
2019-06-21
Business Address
TIMOTHY COUCH
4835 POPLAR LEVEL RD STE 110
LOUISVILLE, KY 40213-2906
Phone number: 855-591-0092
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Mailing Address
TIMOTHY COUCH
725 GRASSY BRANCH RD
ESSIE, KY 40827-7016
Phone number: 606-224-7071
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