# GARY G. BERGER DO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235165523
- **Authorized official:** KEN WASHINGTON (VP)
- **Authorized official phone:** (913) 339-9550

## Contact information

- **Practice address:** 5701 W 119TH ST, SUITE 116, LEAWOOD, KS 66209-3722
- **Practice address phone:** (913) 339-9550
- **Mailing address:** 5701 W 119TH ST, SUITE 116, LEAWOOD, KS 66209-3722
- **Mailing address phone:** (913) 339-9550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SR0400X | Rehabilitation Clinical Nurse Specialist | — | NULL | Yes |
| 364SR0400X | Rehabilitation Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 08/22/2020