Individual
BENJAMIN BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2108 NICHOLASVILLE RD, LEXINGTON, KY 40503-2502
(859) 260-5200
Mailing address
156 YAMACRAW PL, LEXINGTON, KY 40511-8839
(270) 566-8389
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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