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NPI Code Detail

MEDICARE: NANNETTE E BERNALES M.D.

MEDICARE: NANNETTE E BERNALES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician23610KY
2207QH0002XHospice and Palliative Medicine (Family Medicine) Physician23610KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080105457OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710926738
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANNETTE E BERNALES M.D.
Provider Business Mailing Address
First Line : 1733 HARRODSBURG RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3277
Country : US
Telephone Number : 859-278-4869
Fax Number : 859-296-0362
Provider Business Practice Location Address
First Line : 1733 HARRODSBURG RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3617
Country : US
Telephone Number : 859-278-4869
Fax Number : 859-296-0362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 10/29/2024

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Directions to “ NANNETTE E BERNALES M.D.” Practice Location

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