Individual
PIERRE KINDALL BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3901 CENTRAL PIKE STE 500, HERMITAGE, TN 37076-3431
(502) 792-0236
Mailing address
9200 SHELBYVILLE RD STE 531, LOUISVILLE, KY 40222-5132
(502) 792-0236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1271
TN
207Q00000X
Family Medicine Physician
DO1271
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4037157
BLUE CROSS/BLUE SHIELD
TN
05
—
4037157
—
TN
Enumeration date
06/24/2005
Last updated
10/05/2023
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