| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLY J BERG | 1831965755 | 2024-11-10 |
Kelly J Berg is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831965755. Registration indicates Kelly J Berg is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
| Entity Type | Individual |
| Provider Name | Kelly J Berg MS, RND, LDN |
| Practice Office Address | 329 BUSINESS CIR PELHAM, AL US |
| Practice Office Telephone | 6308247870 |
| Mailing Address | 329 BUSINESS CIR PELHAM, AL 351241711 US |
| Business Telephone | 6308247870 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 448 Chase Plantation Pkwy | Hoover, AL 352441536 | 6308247870 |
| Code | Practice | License No State |
|---|---|---|
| 133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | 86074143
AL |