KIMBERLY A BERTHOLD RN BC FNP NPI 1780825570

NPI Information

Kimberly A Berthold, RN, BC, FNP is a family nurse practitioner in Lees Summit, MO with 16 years of experience. Kimberly A Berthold, RN, BC, FNP NPI is 1780825570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 NE SAINT LUKES BLVD
SUITE 240
LEES SUMMIT, MO
ZIP 64086-001
Phone: (816) 931-1883
Fax: (816) 756-3645

The NPI 1780825570 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/9/2009 and was last updated on 5/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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