Berry, Keely Erin

Berry, Keely Erin is an individual health care provider with primary practice located at 1600 7Th Ave S , Birmingham AL 35233-1711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Berry, Keely Erin can be contacted via phone (205) 939-9175.

Contact Information

Primary practice address
1600 7Th Ave S Birmingham AL 35233-1711
Phone: (205) 939-9175
Fax: (205) 558-2061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1089150 Alabama

Profile Details

NPI number 1306023528
LBN Legal business name Berry, Keely Erin
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Jan 30th, 2008 - about 17 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 1306023528 NPPES
Alabama MEDICAID 1089150

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