Kristin Marie Berka, PA-C
Physician Assistant in Charlotte, NC. Individual provider (NPI-1).
NPI number1609837814
StatusActive
Last updated in NPPESOct 8, 2020
Details
- NPI
- 1609837814
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kristin Marie Berka
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2006
- Certification date
- Oct 8, 2020
- Last updated
- Oct 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 103380 | NC | Yes |
| 363A00000X | Physician Assistant | 1109 | SC | |
| 363AM0700X | Physician Assistant, Medical | 103380 | NC |
Practice location
15830 Ballantyne Medical Pl Ste 100Charlotte, NC 28277-0762
Phone 704-341-0090
Mailing address
1563 Healthcare DriveRock Hill, SC 29732-3858
Phone 803-329-6030 · Fax 803-329-6035
Other practice locations
1563 Healthcare Drive
Rock Hill, SC 29732-3858
Rock Hill, SC 29732-3858
Phone 803-329-6030 · Fax 803-329-6035
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