Individual
KENYITA TAMARA BERRYHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3365 S 103RD ST, SUITE 100, MILWAUKEE, WI 53227-4161
(414) 321-3951
(414) 321-8307
Mailing address
3365 S 103RD ST, SUITE 100, MILWAUKEE, WI 53227-4161
(414) 321-3951
(414) 321-8307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47935
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265467815
—
WI
Enumeration date
07/12/2006
Last updated
12/03/2013
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