Individual
KIM BERGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1578 HIGHWAY 44 E UNIT 2, SHEPHERDSVILLE, KY 40165-7172
(502) 921-4161
(502) 921-4165
Mailing address
2700 STANLEY GAULT PKWY, STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4917
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006422
KY
Other
Enumeration date
04/23/2010
Last updated
12/08/2020
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