Individual
BRANDEE DENISE WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 BRULE ST BLDG 871, FORT KNOX, KY 40121-6100
(800) 493-9602
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40751
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100010440
—
KY
Enumeration date
02/22/2007
Last updated
03/03/2025
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