Individual provider · NPI-1
Kristen Lynn Bergey, PA-C
Physician Assistant · Marlton, NJ
NPI number1770739153
StatusActive
Last updated in NPPESMar 6, 2019
Details
- NPI
- 1770739153
- Entity type
- Individual (NPI-1)
- Name
- Miss Kristen Lynn Bergey
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2008
- Last updated
- Mar 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 363A00000X | Physician Assistant | MA053657 | PA | |
| 363A00000X | Physician Assistant | 25MP00207700 | NJ |
Other names
- Kristen Lynn Frank (Former Name)
Practice location
999 Route 73 N Ste 301&401Marlton, NJ 08053-1227
Phone 856-821-6360 · Fax 856-821-6361
Mailing address
833 Chestnut St Ste 520Philadelphia, PA 19107-4430
Phone 267-339-3603 · Fax 267-339-3761
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