Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | ME138628 | FL |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2018008440 | MO |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | ME138628 | FL |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R4943 | TX |
NPI | 1225249568 |
---|---|
Provider Name | Dr. Kathryn E Berryman |
First Address | Orlando, FL 32804-5505 |
Second Address | Orlando, FL 32804-5505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 01/09/2020 |