Lookup NPI Numbers from the NPI Registry
NPI Profile for KELLY M BERGEN in GASTONIA, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1093183642 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 09/11/2015 | |
| Last updated | 09/29/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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KELLY M BERGEN
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KELLY M BERGEN, NP