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Kathryn Melissa Bergen

Family Medicine in San Francisco, CA. Individual provider (NPI-1).

NPI number1669969267
StatusActive
Last updated in NPPESJan 13, 2026

Details

NPI
1669969267
Entity type
Individual (NPI-1)
Name
Kathryn Melissa Bergen
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2018
Certification date
Jan 13, 2026
Last updated
Jan 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine20A20578CAYes

Practice location

333 1st St Ste A
San Francisco, CA 94105-2661

Phone 888-803-3370

Mailing address

39 East Ave
Pawtucket, RI 02860-4003

Phone 401-722-0081

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