Individual
KERRY L BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8901 INDIAN HILLS DR, STE 200, OMAHA, NE 68114-4029
(402) 397-7057
Mailing address
8901 INDIAN HILLS DR, STE 200, OMAHA, NE 68114-4029
(402) 397-7057
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
22365
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47077295213
—
NE
Enumeration date
04/28/2006
Last updated
07/09/2012
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