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Individual

ALYNN ANN BERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4700 SOUTHERN HILLS DR, ASHLAND, KY 41102-9203
(832) 928-3863
Mailing address
4700 SOUTHERN HILLS DR, ASHLAND, KY 41102-9203
(832) 928-3863

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
1138022
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
3008404
KY

Other

Enumeration date
08/23/2022
Last updated
08/23/2022
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