Kurt William Berg
Dietetic Technician, Registered in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1154793115
StatusActive
Last updated in NPPESOct 29, 2015
Details
- NPI
- 1154793115
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kurt William Berg
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2015
- Last updated
- Oct 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 136A00000X | Dietetic Technician, Registered | – | – | Yes |
Practice location
1010 Delafield RdPittsburgh, PA 15215-1802
Phone 412-822-1894 · Fax 412-822-1901
Mailing address
1010 Delafield RdPittsburgh, PA 15215-1802
Phone 412-822-1894 · Fax 412-822-1901
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