Individual provider · Type 1 NPI
Kelly Berg, PA-C
Surgical Physician Assistant · Tavares, FL
NPI number
1013659937
Active
Practice location
1000 Waterman Way
Tavares, FL 32778-5266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | PA9114955 (FL) |
| Surgical Physician Assistant Primary | 363AS0400X | PA9114955 (FL) |
Surgical Physician Assistant: Definition to come...
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About NPI 1013659937
Kelly Berg, PA-C's National Provider Identifier is 1013659937, issued on Apr 11, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tavares, FL. The record was last updated on Apr 18, 2023.