Berggren, Kimberly Anne

Berggren, Kimberly Anne is an individual health care provider with primary practice located at 96Th Medical Group 307 Boatner Rd, Suite 114, Eglin Afb FL 32542-1282. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Berggren, Kimberly Anne can be contacted via phone (508) 838-1328.

Contact Information

Primary practice address
96Th Medical Group 307 Boatner Rd, Suite 114 Eglin Afb FL 32542-1282
Phone: (508) 838-1328
Fax: (850) 862-4423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Florida

Profile Details

NPI number 1730349242
LBN Legal business name Berggren, Kimberly Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 24th, 2024 - 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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