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Individual

KYLEE ANN BERNTHISEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC,LAT

Contact information

Practice address
5840 26TH ST W, BRADENTON, FL 34207-3522
(941) 752-5561
Mailing address
108 PINEHURST DR, BRADENTON, FL 34210-4501
(419) 575-9328

Taxonomy

Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
AL4595
FL

Other

Enumeration date
03/05/2021
Last updated
03/05/2021
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