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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY BERG, PA-C

Active

KELLY BERG, PA-C is a Surgical Physician Assistant healthcare provider located in TAVARES, Florida. NPI 1013659937 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · TAVARES, FL

Registration Details

NPI Number
1013659937
Provider Type
Individual
Gender
Female
NPI Issued
Apr 11, 2022 (4.3840541701332 yrs)
Last Updated
Apr 18, 2023
Licenses
PA9114955 (FL)
PA9114955 (FL)

Practice Information

Address
1000 WATERMAN WAY
TAVARES, FL, 327785266
Browse FL providers · Browse ZIP 32778
Phone
3522533333
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in TAVARES, FL

Name Credential NPI
DAVID J ELLINGSON P.A. 1144228685
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.