MEDICARE: MILON KIRK BERRY

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
1	146L00000X	Paramedic	6766-4917	IN

General Provider Information

NPI Number	:	1760340202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILON KIRK BERRY

Provider Business Mailing Address
First Line	:	513 S BLOOMINGTON ST
Second Line	:
City	:	GREENCASTLE
State	:	IN
Zip	:	46135-2113
Country	:	US
Telephone Number	:	765-655-5964
Fax Number	:	765-655-5263

Provider Business Practice Location Address
First Line	:	513 S BLOOMINGTON ST
Second Line	:
City	:	GREENCASTLE
State	:	IN
Zip	:	46135-2113
Country	:	US
Telephone Number	:	765-655-5964
Fax Number	:	765-655-5293

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ MILON KIRK BERRY ” Practice Location

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