Individual
DR. JOHN MICHAEL BERNARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 E BROADWAY, SUITE 200, LOUISVILLE, KY 40202-1745
(502) 585-5249
(502) 585-5251
Mailing address
310 E BROADWAY, SUITE 200, LOUISVILLE, KY 40202-1745
(502) 585-5249
(502) 585-5251
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
44087
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207N00000X
TAXONOMY
—
01
—
44087
STATE LICENSE
KY
Enumeration date
09/25/2007
Last updated
08/17/2015
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