Lynda Kaye Bruederle | Louisville, KY • PECOS Search

Lynda Kaye Bruederle

Social Worker

Behavioral Health & Social Service Providers

800 Zorn Ave, Vamc, Louisville, KY 40206-1433

(502) 287-4386 (502) 367-0019

PECOS Enrollment

Based on the most recent information from CMS, provider Lynda Kaye Bruederle does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1588685317
Provider Type
Individual
Full Name
Bruederle, Lynda Kaye
Credential
CSW SOCIAL WORKER

Gender
Female
Sole Proprietor
No
Enumeration Date
7/21/2006
Last Updated
7/8/2007

Contact Information

Practice Location

800 Zorn Ave, Vamc, Louisville, KY 40206-1433

(502) 287-4404

Mailing Location

310 Revolutionary Rd, Louisville, KY 40214-5450

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License KY4276 Kentucky