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Individual

MRS. KATHY LEE BERTOLONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN MSW ARNP CFNP

Contact information

Practice address
601 S FLOYD ST, #403, LOUISVILLE, KY 40202-1835
(502) 629-5084
(502) 629-5780
Mailing address
601 S FLOYD ST, #403, LOUISVILLE, KY 40202-1835

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2158P
KY

Other

Enumeration date
01/19/2006
Last updated
02/25/2008
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