Individual
KIMBERLY C BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
30497
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q034664
—
TN
Enumeration date
11/14/2005
Last updated
02/21/2019
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