Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 32623 | KY |
N | 208600000X | Surgeon | 32623 | KY |
Y | 2086S0102X | Surgical Critical Care | 32623 | KY |
N | 2086S0127X | Trauma Surgeon | 32623 | KY |
NPI | 1326097049 |
---|---|
Provider Name | Dr. Andrew Bernard |
First Address | Lexington, KY 40508-3215 |
Second Address | Lexington, KY 40536-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 03/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64062797 | (05) | KY |
H82725 | (02) |