Kimberly A Berge PA-C

NPI 1053398636 - Physician Assistant - 363A00000X

NPI Details
NPI 1053398636
Gender Female
Enumeration Date 12/27/2005
Last Updated 11/21/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
433 ST MICHAELS DR
SANTA FE NM, 87505, US
Phone (505) 988-1232
Fax (505) 984-1603
Business Location
433 ST MICHAELS DR
SANTA FE NM, 87505, US
Phone (505) 988-1232
Fax (505) 984-1603
Toxanomy
Taxonomy Code 363A00000X
License State New Mexico
License Number 81PA001
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According to our database, Kimberly A Berge PA-C NPI is 1053398636, taxonomy code is 363A00000X and license number is 81PA001, license state is located at New Mexico. Kimberly A Berge PA-C physically located at 433 St Michaels Dr, Santa Fe NM, 87505. NPI Number Kimberly A Berge PA-C has the Individual type.

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1053398636 NPI number is provided on an as is basis without warranty of any kind. 1053398636 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly A Berge PA-C are for informational purposes only.