Berry, Lisa

Berry, Lisa is an individual health care provider with primary practice located at 14878 Metcalf Ave , Overland Park KS 66223-2206. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Berry, Lisa can be contacted via phone (913) 257-5808.

Contact Information

Primary practice address
14878 Metcalf Ave Overland Park KS 66223-2206
Phone: (913) 257-5808
Fax: (844) 270-5788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 07-01452 Kansas

Profile Details

NPI number 1528438249
LBN Legal business name Berry, Lisa
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2015
Last updated Oct 7th, 2015 - about 9 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 1528438249 NPPES
Kansas Other 17-01452 STATE OF KANSAS LICENSE

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