Individual
KAYLA JEAN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 610-9287
Mailing address
707 PONDEROSA VLG, BURNS, OR 97720-2315
(541) 610-9287
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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