Daizah Raye Kimberland Sr, FNP-C - General Practice in Bardstown, KY

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Daizah Raye Kimberland Sr, FNP-C is a General Practice physician based in Bardstown, Kentucky. Daizah Raye Kimberland Sr is licensed to practice in Kentucky (license number 4044398) and her current practice location is 211 Palco St, Bardstown, Kentucky. She can be reached at her office (for appointments etc.) via phone at (502) 507-3100.

NPI number for Daizah Raye Kimberland Sr is 1871473876 and her current mailing address is 211 Palco St, Bardstown, Kentucky. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871473876.

Contact Information

Daizah Raye Kimberland Sr, FNP-C
211 Palco St,
Bardstown, KY 40004-1930
(502) 507-3100
Not Available

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Physician's Profile

Full NameDaizah Raye Kimberland Sr
GenderFemale
SpecialityGeneral Practice
Location211 Palco St, Bardstown, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871473876
  • Provider Enumeration Date: 09/03/2025
  • Last Update Date: 09/03/2025

Medical Identifiers

Medical identifiers for Daizah Raye Kimberland Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871473876NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 4044398 (Kentucky)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daizah Raye Kimberland Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Daizah Raye Kimberland Sr, FNP-C
211 Palco St,
Bardstown, KY 40004-1930

Ph: (502) 507-3100		Daizah Raye Kimberland Sr, FNP-C
211 Palco St,
Bardstown, KY 40004-1930

Ph: (502) 507-3100

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General Practice Doctors in Bardstown, KY


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