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Individual

MS. BARBARA J BERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1015 WEST CHESTNUT STREET, LOUISVILLE, KY 40203
(502) 584-2992
(502) 584-3715
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211
(502) 774-4401
(502) 772-8984

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
KYPA049
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95003422
KY
Enumeration date
11/17/2006
Last updated
07/08/2007
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