Individual
KIMBERLY BERKVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 214-3122
Mailing address
2216 LOMBARD ST APT 3, PHILADELPHIA, PA 19146-1184
(707) 815-9781
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP027987
PA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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