Berge, Kimberly A
Berge, Kimberly A is an individual health care provider with primary practice located at 433 St Michaels Dr , Santa Fe NM 87505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Berge, Kimberly A can be contacted via phone (505) 988-1232.Contact Information
Primary practice address
433 St Michaels Dr
Santa Fe NM 87505
Phone: (505) 988-1232
Fax: (505) 984-1603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 81PA001 | New Mexico |
Profile Details
| NPI number | 1053398636 |
|---|---|
| LBN Legal business name | Berge, Kimberly A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Nov 21st, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053398636 | NPPES |
| Other | 1699939 | UHC | |
| Other | 10003927 | UHC |
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