Individual
NANNETTE E BERNALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3617
(859) 278-4869
(859) 296-0362
Mailing address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3277
(859) 278-4869
(859) 296-0362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23610
KY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
23610
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080105457
RAILROAD MEDICARE
KY
05
—
2332407
—
OH
05
—
64236102
—
KY
Enumeration date
06/05/2006
Last updated
10/29/2024
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