Berryhill, Kenyita Tamara

Berryhill, Kenyita Tamara is an individual health care provider with primary practice located at 3365 S 103Rd St Suite 100, Milwaukee WI 53227-4161. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Berryhill, Kenyita Tamara can be contacted via phone (414) 321-3951.

Contact Information

Primary practice address
3365 S 103Rd St Suite 100 Milwaukee WI 53227-4161
Phone: (414) 321-3951
Fax: (414) 321-8307
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47935 Wisconsin

Profile Details

NPI number 1265467815
LBN Legal business name Berryhill, Kenyita Tamara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 3rd, 2013 - about 13 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 1265467815 NPPES
Wisconsin MEDICAID 1265467815

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