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1790869865
KENNETH A. BERG
SAN RAFAEL, CA
NPI
1790869865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: CA G41696)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
KENNETH A. BERG MD
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-2000
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Mailing Address
KENNETH A. BERG MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262
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