Wimberly, Brandee Denise

Wimberly, Brandee Denise is an individual health care provider with primary practice located at 230 E Broadway , Louisville KY 40202-2008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wimberly, Brandee Denise can be contacted via phone (502) 629-8901.

Contact Information

Primary practice address
230 E Broadway Louisville KY 40202-2008
Phone: (502) 629-8901
Fax: (502) 852-8556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40751 Kentucky

Profile Details

NPI number 1578698445
LBN Legal business name Wimberly, Brandee Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Nov 18th, 2013 - about 13 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 1578698445 NPPES
Indiana MEDICAID 200892350
Indiana MEDICAID 7100010440

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