| Doctor Name: | MR. KEVIN MATTHEW BERGER |
| NPI Number: | 1356670632 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.AC., DIPL. O.M. |
| License Number: | KO000627 |
| Business Practice Address: | 121 N Reading Ave Boyertown, PA - 195121011 |
| Business Phone Number: | 6103671633 |
| Business Fax Number: | |
| Mailing Address: | 121 N Reading Ave, BOYERTOWN |
| State: | PA |
| Postal Code: | 19512 |
| Phone Number: | 6103671633 |
| Fax Number: | |
| NPI Enumeration Date: | 12/15/2009 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | KO000627 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |