Daizah Raye Kimberland SR., FNP-C

NPI #1871473876 in Bardstown, Kentucky

Provider Information

NPI Number: 1871473876
Entity Type: Individual
Name: Daizah Raye Kimberland SR., FNP-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: FNP-C
Enumeration Date: Sep 3, 2025
Last Updated: Sep 3, 2025

Practice Location

Address: 211 PALCO ST
City: Bardstown
State: Kentucky
ZIP Code: 40004-1930
Phone: (502) 507-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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