Berg, Kelsey J
Berg, Kelsey J is an individual health care provider with primary practice located at 1020 E 2Nd St Suite 201, Casper WY 82601-2946. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Berg, Kelsey J can be contacted via phone (307) 577-8832.Contact Information
Primary practice address
1020 E 2Nd St Suite 201
Casper WY 82601-2946
Phone: (307) 577-8832
Fax: (307) 237-5421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OTR 765 | Wyoming |
Profile Details
| NPI number | 1730590639 |
|---|---|
| LBN Legal business name | Berg, Kelsey J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2014 |
| Last updated | May 14th, 2014 - about 11 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730590639 | NPPES |
| Wyoming | Other | OTR 765 | WYOMING STATE LICENSE NUMBER |
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