Kenneth Robert Bergman M.D.

NPI 1013912252 - Allergy & Immunology - 207KA0200X

NPI Details
NPI 1013912252
Gender Male
Enumeration Date 06/15/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
13890 BRADDOCK RD
STE 206
CENTREVILLE VA, 20121-2437, US
Phone (703) 263-2333
Fax (703) 263-0361
Business Location
13890 BRADDOCK RD
STE 206
CENTREVILLE VA, 20121-2437, US
Phone (703) 263-2333
Fax (703) 263-0361
Toxanomy
Taxonomy Code 207KA0200X
License State Virginia
License Number 0101025702
Remove 1013912252 NPI Number
 

According to our database, Dr. Kenneth Robert Bergman M.D. NPI is 1013912252, taxonomy code is 207KA0200X and license number is 0101025702, license state is located at Virginia. Kenneth Robert Bergman M.D. physically located at 13890 Braddock Rd, Centreville VA, 20121-2437. NPI Number Kenneth Robert Bergman M.D. has the Individual type.

Sponsored links

1013912252 NPI number is provided on an as is basis without warranty of any kind. 1013912252 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Robert Bergman M.D. are for informational purposes only.