Berry, Kenneth Michael

Berry, Kenneth Michael is an individual health care provider with primary practice located at 11110 Medical Campus Rd Ste 205 , Hagerstown MD 21742-6797. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Berry, Kenneth Michael can be contacted via phone (301) 665-4950.

Contact Information

Primary practice address
11110 Medical Campus Rd Ste 205 Hagerstown MD 21742-6797
Phone: (301) 665-4950
Fax: (301) 665-4956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0002455 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0002455

Profile Details

NPI number 1588626279
LBN Legal business name Berry, Kenneth Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 6th, 2020 - about 6 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.

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