Individual
KENNETH BERKSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 ALLAGOSH DR APT 243, MORRISVILLE, NC 27560-9490
(910) 855-0580
Mailing address
200 ALLAGOSH DR APT 243, MORRISVILLE, NC 27560-9490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G41547
CA
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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