NPI 1053398636

Kimberly a Berge, PAC

Practitioner Physician Assistant Santa Fe, NM

Practice location

Address: 433 St Michaels Dr, Santa Fe, NM 87505
Phone: (505) 988-1232
Fax: (505) 984-1603

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 81PA001 (NM)

Other Physician Assistant providers in New Mexico →

Registry record

NPI: 1053398636
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Dec 2005
Record last updated: 21 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.