Berg, Kelly

Berg, Kelly is an individual health care provider with primary practice located at 1000 Waterman Way , Tavares FL 32778-5266. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Berg, Kelly can be contacted via phone (352) 253-3333.

Contact Information

Primary practice address
1000 Waterman Way Tavares FL 32778-5266
Phone: (352) 253-3333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X PA9114955 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9114955 Florida

Profile Details

NPI number 1013659937
LBN Legal business name Berg, Kelly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2022
Last updated Apr 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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