Active NPI
Kimberly A Kernek, M.D.
- Obstetrics & Gynecology Physician
- Louisville, KY
National Provider Identifier
1255324687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 34161
- Practice address
- 3940 Dupont Cir
Louisville, KY 40207-4806 - Phone
- (502) 895-1111
- Fax
- (502) 895-1085
- NPI assigned
- Aug 31, 2005
- Last updated
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34161 | KY | Primary |
Addresses
Primary practice location
3940 Dupont Cir
Louisville, KY 40207-4806
Mailing address
2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223-5132
Phone (502) 253-4917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64077829 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkernek7524@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Kentucky, P.S.C. | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
Interoperability endpoints
- kkernek78051@direct.kdhealth.us
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Ashland, KY
- NPI 1457644122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1255324687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 STANLEY GAULT PKWY",
"address_2": "STE 129",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235132",
"telephone_number": "502-253-4917",
"fax_number": "502-489-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 DUPONT CIR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074806",
"telephone_number": "502-895-1111",
"fax_number": "502-895-1085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNEK",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "34161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64077829",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkernek7524@bhkydirect.com",
"affiliation": "N",
"address_1": "3940 Dupont Cir",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402074806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.