Individual
JAMIE DANIELS BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
705 BUTTERMILK PIKE, SUITE 100, CRESCENT SPRINGS, KY 41017-1303
(859) 341-3937
Mailing address
705 BUTTERMILK PIKE, SUITE 100, CRESCENT SPRINGS, KY 41017-1303
(859) 341-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1570DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77001030
—
KY
Enumeration date
04/14/2006
Last updated
07/22/2009
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