Kimberly Berkvam, CRNP | |
7600 Central Ave, Philadelphia, PA 19111-2442 | |
(215) 214-3122 | |
Not Available |
Full Name | Kimberly Berkvam |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 7600 Central Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730861956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | SP027987 (Pennsylvania) | Primary |
Entity Name | Temple Faculty Practice Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
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Kimberly Berkvam, CRNP 2216 Lombard St Apt 3, Philadelphia, PA 19146-1184 Ph: (707) 815-9781 | Kimberly Berkvam, CRNP 7600 Central Ave, Philadelphia, PA 19111-2442 Ph: (215) 214-3122 |
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