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General NPI Number Information
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NPI Number | 1417017450
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Entity Type | Individual
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Provider Name | KIMBERLY ANN BERNARD MD
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 4001 DUTCHMANS LN
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City | LOUISVILLE
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State | KY
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Zip | 40207-4714
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Country | US
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Telephone | 502-893-1270
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Fax | 502-894-1321
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Provider Business Mailing Address
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Address Line | PO BOX 950202
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City | LOUISVILLE
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State | KY
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Zip | 40295-0202
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 44072
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME174180
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01093729A
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License Number State | IN
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