Bergen, Kathryn Melissa

Bergen, Kathryn Melissa is an individual health care provider with primary practice located at 39 East Ave , Pawtucket RI 02860-4003. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bergen, Kathryn Melissa can be contacted via phone (401) 722-0081.

Contact Information

Primary practice address
39 East Ave Pawtucket RI 02860-4003
Phone: (401) 722-0081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO01152 Rhode Island

Profile Details

NPI number 1669969267
LBN Legal business name Bergen, Kathryn Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2018
Last updated Jun 22nd, 2022 - about 3 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.

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