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Individual

DR. KATHLEEN JOYCE BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0437973
KS
208000000X
Pediatrics Physician
2011-00407
NC
208000000X
Pediatrics Physician
Primary
2015013428
MO
208000000X
Pediatrics Physician
22539
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07556848
MS
Enumeration date
06/23/2008
Last updated
08/05/2015
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