Bonnelia M Kimble, APRN | |
6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | |
(502) 891-8300 | |
(502) 891-8338 |
Full Name | Bonnelia M Kimble |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 6420 Dutchmans Pkwy, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912928862 | NPI | - | NPPES |
P00992186 | Other | KY | RAILROAD MEDICARE - KY |
000000693047 | Other | KY | ANTHEM - NCVA |
000000533456 | Other | KY | ANTHEM PIN |
122023 | Other | KY | SIHO - NCVA |
7100147010 | Medicaid | KY | |
000057080V | Other | KY | HUMANA - NCVA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4268P (Kentucky) | Secondary |
363L00000X | Nurse Practitioner | 3004268 (Kentucky) | Primary |
Entity Name | Community Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Mailing Address | Practice Location Address |
---|---|
Bonnelia M Kimble, APRN Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Bonnelia M Kimble, APRN 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 Ph: (502) 891-8300 |
Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909 | |
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461 | |
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843 | |
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666 | |
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117 | |
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529 | |
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500 |