Individual
KERRY KATHLEEN BERGHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 S DOBSON RD, CHANDLER, AZ 85224-5657
(480) 850-2873
Mailing address
705 S DOBSON RD, CHANDLER, AZ 85224-5657
(480) 850-2873
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP4133
AZ
363LF0000X
Family Nurse Practitioner
AP4133
AZ
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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