Individual provider · Type 1 NPI

Katherine Constance Ruth Bergus, MD

Student in an Organized Health Care Education/Training Program · Columbus, OH

NPI number 1023645256 Active

Practice location

410 W 10th Ave
Columbus, OH 43210-1240

Mailing address

426 21st Ave
Seattle, WA 98122-5918

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023645256

Katherine Constance Ruth Bergus, MD's National Provider Identifier is 1023645256, issued on Mar 26, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbus, OH. The record was last updated on Nov 27, 2023.