Individual
KIMBERLY A BERTHOLD
Active
Individual
KIMBERLY A BERTHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BC, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2008001025
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780825570
—
MO
05
—
200258340D
—
KS
05
—
200258340E
—
KS
01
—
P00836071
RAILROAD MEDICARE
MO
01
—
P00842733
RAILROAD MEDICARE
KS
Enumeration date
03/09/2009
Last updated
05/08/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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