Individual
DR. BERNADETTE VEZA EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 852-8556
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40725
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
40725
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200886380
—
IN
05
—
7100008630
—
KY
Enumeration date
02/12/2007
Last updated
06/11/2008
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