Berry, Kristen A.

Berry, Kristen A. is an individual health care provider with primary practice located at 4148 Lancaster Ave , Philadelphia PA 19104-1727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Berry, Kristen A. can be contacted via phone (215) 662-0119.

Contact Information

Primary practice address
4148 Lancaster Ave Philadelphia PA 19104-1727
Phone: (215) 662-0119
Fax: (215) 662-5339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS012123 Pennsylvania

Profile Details

NPI number 1528069200
LBN Legal business name Berry, Kristen A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jan 26th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528069200 NPPES
Pennsylvania MEDICAID 0195692

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