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Kira Berch

Specialist/Technologist, Athletic Trainer in Jackson, MS. Individual provider (NPI-1).

NPI number1811280985
StatusActive
Last updated in NPPESDec 30, 2014

Details

NPI
1811280985
Entity type
Individual (NPI-1)
Name
Kira Berch
Sex
Female
Sole proprietor
Yes
Enumeration date
May 24, 2011
Last updated
Dec 30, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT0361MSYes

Practice location

1325 East Fortification
Jackson, MS 39208

Phone 601-750-5445

Mailing address

1325 East Fortification
Jackson, MS 39208

Phone 601-750-5445

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