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Individual
DR. DANIEL KENNETH BERRY
Active
Individual
DR. DANIEL KENNETH BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.,PHD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-35629
KS
207Q00000X
Family Medicine Physician
2448
OK
207Q00000X
Family Medicine Physician
25MB05854600
NJ
2083A0100X
Aerospace Medicine Physician
05-35629
KS
2083A0100X
Aerospace Medicine Physician
2448
OK
2083A0100X
Aerospace Medicine Physician
25MB05854600
NJ
Other
Enumeration date
12/11/2006
Last updated
02/10/2022
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