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Kelley Berning

Specialist/Technologist, Athletic Trainer in Kirkwood, MO. Individual provider (NPI-1).

NPI number1154736775
StatusActive
Last updated in NPPESJun 23, 2014

Details

NPI
1154736775
Entity type
Individual (NPI-1)
Name
Kelley Berning
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 23, 2014
Last updated
Jun 23, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2014006224MOYes

Practice location

652 Hawbrook Ave
Kirkwood, MO 63122-4661

Phone 314-503-4736

Mailing address

652 Hawbrook Ave
Kirkwood, MO 63122-4661

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Other Athletic Trainer providers in Kirkwood, MO

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