Berning, Kevin L

Berning, Kevin L is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Ste 300 , Fort Wayne IN 46845-1715. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Berning, Kevin L can be contacted via phone (260) 490-7111.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Ste 300 Fort Wayne IN 46845-1715
Phone: (260) 490-7111
Fax: (260) 490-2286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 01055645A Indiana
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 01055645A Indiana

Profile Details

NPI number 1164423620
LBN Legal business name Berning, Kevin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 15th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164423620 NPPES
Indiana MEDICAID 200377060
Indiana MEDICAID 104394511

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