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Individual
MS. KRISTIN MARIE BERKA
Active
Individual
MS. KRISTIN MARIE BERKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103380
NC
363A00000X
Physician Assistant
1109
SC
363AM0700X
Medical Physician Assistant
103380
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7985246
—
NC
01
—
85246
BLUECROSS BLUESHIELD
NC
Enumeration date
03/29/2006
Last updated
10/08/2020
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