Individual
DR. KAY ELAINE BERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
329 SUNBURY ST, MINERSVILLE, PA 17954-1239
(570) 544-4792
(570) 544-3509
Mailing address
329 SUNBURY ST, P.O. BOX 643, MINERSVILLE, PA 17954-1239
(570) 544-4792
(570) 544-3509
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001206
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008924270001
—
PA
01
—
397406
NVA
PA
01
—
50003484
BLUE CROSS
PA
01
—
BE198348
BLUE SHIELD
PA
Enumeration date
07/18/2006
Last updated
12/02/2013
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