Individual
MICHELLE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3219 CENTRAL AVE, KEARNEY, NE 68847-2949
(308) 865-2263
(308) 865-2541
Mailing address
3219 CENTRAL AVE, KEARNEY, NE 68847-2949
(308) 865-2263
(308) 865-2541
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
2011-0243
NE
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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