SearchOhio224Z00000X

Kelly Bergman

NPI 1922343292 · on the registry since 2012

Practice

Address
715 N Main St
Swanton, OH 43558
Phone
(419) 826-0980

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-11-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio