Individual
DAIZAH RAYE KIMBERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
141 PARKWAY DR, BARDSTOWN, KY 40004-3220
(502) 348-4757
(502) 348-4755
Mailing address
141 PARKWAY DR, BARDSTOWN, KY 40004-3220
(502) 348-4757
(502) 348-4755
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4044398
KY
363LF0000X
Family Nurse Practitioner
Primary
4044398
KY
Other
Enumeration date
09/03/2025
Last updated
04/29/2026
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