Individual
DR. BERHANEMESKEL NESKETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PLEASANT VALLEY RD, SUITE 404, OWENSBORO, KY 42303-9774
(270) 417-7500
(270) 417-7699
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
47275
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201249550
—
IN
05
—
7100304030
—
KY
Enumeration date
10/13/2010
Last updated
11/27/2023
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