Individual
DR. JOAN KAY NERDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
989 GOVERNORS LN, LEXINGTON, KY 40513-1173
(598) 554-8265
(859) 309-9032
Mailing address
285 MELBOURNE WAY, LEXINGTON, KY 40503-2652
(614) 563-0720
(859) 554-8265
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2196
KY
152W00000X
Optometrist
Primary
2196DT
KY
152W00000X
Optometrist
3882
OH
163W00000X
Registered Nurse
RN149369
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000117705
ANTHEM
—
01
—
10223
CVC
—
05
—
1962466680
—
KY
05
—
1962466680
—
OH
Enumeration date
04/12/2006
Last updated
11/17/2022
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