Individual
JEFFRY ALAN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1201 W 12TH AVE, EMPORIA, KS 66801-2531
(620) 343-6800
Mailing address
1110 WEST 6TH AVE, EMPORIA, KS 66801-2531
(620) 342-8748
(620) 342-0783
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54037
KS
Other
Enumeration date
02/08/2006
Last updated
05/12/2011
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