Individual
ASHLEE BETH BERGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST, STE 410, LOUISVILLE, KY 40202-5700
(502) 588-4400
(502) 588-4401
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0329
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036122638
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
TP616
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036122638
STATE LICENSE
IL
Enumeration date
01/19/2010
Last updated
10/20/2015
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