Individual
KIMBERLY LYNN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
225 SMITH AVE N STE 201, SAINT PAUL, MN 55102-2697
(651) 241-5290
(651) 241-5248
Mailing address
225 SMITH AVE N STE 201, SAINT PAUL, MN 55102-2697
(651) 241-5290
(651) 241-5248
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R 123060-4
MN
Other
Enumeration date
07/24/2006
Last updated
05/04/2011
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