Individual
MRS. KELLEY BERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP131383
TX
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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