Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 007521 | AZ |
Y | 207RH0002X | Hospice and Palliative Medicine | 34.013721 | OH |
NPI | 1376938571 |
---|---|
Provider Name | Kerry Bertke |
First Address | Dublin, OH 43016-4134 |
Second Address | Columbus, OH 43214-3463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2015 |
Last Update Date | 25/01/2022 |