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NPI Code Detail

MEDICARE: KENT E BERKEY M.D.

MEDICARE:   KENT E BERKEY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD042802LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396943742
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENT E BERKEY M.D.
Provider Business Mailing Address
First Line : 3245 BEECHWOOD BLVD APT B23
Second Line :
City : PITTSBURGH
State : PA
Zip : 15217-3130
Country : US
Telephone Number : 412-521-2231
Fax Number : 724-229-6199
Provider Business Practice Location Address
First Line : 1025 JEFFERSON AVE
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-2119
Country : US
Telephone Number : 724-229-6195
Fax Number : 724-229-6199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 10/31/2022

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Directions to “ KENT E BERKEY M.D.” Practice Location

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