Berry, Ronald Allen

Berry, Ronald Allen is an individual health care provider with primary practice located at 2211 Mayfair Dr Suite 301, Owensboro KY 42301-4572. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Berry, Ronald Allen can be contacted via phone (270) 688-4430.

Contact Information

Primary practice address
2211 Mayfair Dr Suite 301 Owensboro KY 42301-4572
Phone: (270) 688-4430
Fax: (270) 688-4439
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22811 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 22811 Kentucky

Profile Details

NPI number 1568410660
LBN Legal business name Berry, Ronald Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 13th, 2014 - about 11 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 1568410660 NPPES
Kentucky MEDICAID 64228117
Kentucky Other 000000521567

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