person
Brendon M. Coughtry, MD
Interventional Pain Medicine Physician in Campbellsville, Kentucky
NPI 1669514840

Brendon M. Coughtry is a Interventional Pain Medicine Physician based in Belfast, KY and is specialized in Interventional Pain Medicine. Brendon M. Coughtry practices in Campbellsville, KY and has the professional credentials of MD. The NPI Number for Brendon M. Coughtry is 1669514840 and holds a License No. 42072 (Kentucky).

The current practice location address for Brendon M. Coughtry is 99 Wellpark Lane, Campbellsville, KY and can be reached out via phone at 606-260-8613 and via fax at 859-977-2683.

Location: 99 Wellpark Lane, Campbellsville, KY, 04915-4115
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Provider Profile Details
NPI Number
1669514840
Provider Name
Brendon M. Coughtry
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
99 Wellpark Lane, Campbellsville, KY, 04915-4115
Phone Number
606-260-8613
Fax Number
859-977-2683
Provider Enumeration Date
02/13/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1563218 01 KY WELLCARE OF KY PROVIDER ID NUMBER
3406022 01 CIGNA PROVIDER ID NUMBER
000001155521 01 ANTHEM PIN
1669514840 05 WV
102719KYIP 01 KY AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
30015488600001 05 VA
7100051000 05 KY
9276417 01 AETNA PROVIDER ID NUMBER
2950152 01 UNITED HEALTHCARE PROVIDER ID NUMBER
300012018 05 IN
CS1815900343 01 CARESOURCE PROVIDER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
99 Wellpark Lane
City
State
Zip
42718-4919
Phone Number
606-260-8613
Fax Number
859-977-2683
person
Provider Business Mailing Address Details
Address
99 Wellpark Lane
City
State
Zip
42718-4919
Phone Number
606-260-8613
Fax Number
859-977-2683
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
License No.
42072 (Kentucky)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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