# DR. DANIEL KENNETH BERRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1235299900
- **Gender:** Man
- **Credential:** D.O., M.S.,PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 05-35629 | KS | Yes |
| 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