Brothers, Kyle Bertram

Brothers, Kyle Bertram is an individual health care provider with primary practice located at 555 S Floyd St , Louisville KY 40202-3822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brothers, Kyle Bertram can be contacted via phone (502) 588-3440.

Contact Information

Primary practice address
555 S Floyd St Louisville KY 40202-3822
Phone: (502) 588-3440
Fax: (502) 588-3441
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 45218 Kentucky

Profile Details

NPI number 1336296201
LBN Legal business name Brothers, Kyle Bertram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 4th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336296201 NPPES
Kentucky MEDICAID 7100042350
Kentucky MEDICAID 201083680

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