Kenneth A. Berg, MD Valid NPI

Individual provider · Child & Adolescent Psychiatry Physician · San Rafael, CA

NPI

1790869865

Type

Individual (Type 1)

Primary specialty

Child & Adolescent Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0804X

License number

G41696 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-25

Last updated

2007-07-08