Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daizah Raye Kimberland, FNP-C

Individual provider Family Nurse Practitioner · NPI 1871473876

Daizah Raye Kimberland, FNP-C is a Nurse Practitioner in Bardstown, Kentucky. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

141 Parkway Dr
Bardstown, KY 40004-3220
Phone: (502) 348-4757
Fax: (502) 348-4755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4044398 (KY)

Record details

NPI number1871473876
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedSeptember 3, 2025
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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