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Dr. Katelyn Lee Berg, MD
General Practice Physician in Jacksonville, Florida
NPI 1528701711

Katelyn Lee Berg is a General Practice Physician based in Jacksonville, FL. Katelyn Lee Berg practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Katelyn Lee Berg is 1528701711 and holds a License No. 0101279275 (Florida).

The current practice location address for Katelyn Lee Berg is 2080 Child St, Jacksonville, FL and can be reached out via phone at 904-542-7300.

Location: 2080 Child St, Jacksonville, FL, 32214-5005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528701711
Provider Name
Katelyn Lee Berg
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2080 Child St, Jacksonville, FL, 32214-5005
Phone Number
904-542-7300
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2080 Child St
City
Jacksonville
State
Florida
Zip
32214-5005
Phone Number
904-542-7300
Fax Number
person
Provider Business Mailing Address Details
Address
2080 Child St
City
Jacksonville
State
Florida
Zip
32214-5005
Phone Number
904-542-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101279275 (Virginia)
Definition
Definition to come...
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