Individual
JANE BEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
615 S PRESTON ST, LOUISVILLE, KY 40202-1715
(502) 852-5757
(502) 852-7643
Mailing address
501 E BROADWAY, #220, LOUISVILLE, KY 40202-1785
(502) 589-4856
(502) 589-5093
Taxonomy
Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
3003138
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3003138
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78006848
—
KY
01
—
K043940
MEDICARE
KY
Enumeration date
12/13/2005
Last updated
05/03/2016
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