Individual
MRS. KIMBERLEE D BEREZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7445
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170173
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024170173
NP LICENSE
VA
Enumeration date
12/04/2008
Last updated
09/22/2022
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