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Individual

KATHLEEN P BERGER-GILLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5721 W 119TH ST, OVERLAND PARK, KS 66209-3722
(913) 498-6000
(913) 428-2951
Mailing address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 647-4101
(913) 647-4121

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0426502
KS
207L00000X
Anesthesiology Physician
111535
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100266340A
MO
05
208496604
MO
01
23580016
BCBS OF KANSAS CITY
MO
Enumeration date
08/15/2006
Last updated
03/23/2026
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