Alicia R Berry-kaho, LPN in Fayette, MS - Licensed Practical Nurse

Alicia R Berry-kaho, LPN is a Licensed Practical Nurse based in Fayette, Mississippi. Alicia R Berry-kaho is licensed to practice in Mississippi (license number 320763) and her current practice location is 90 Avendale Road, Fayette, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 451-5018.

NPI number for Alicia R Berry-kaho is 1629739818 and her current mailing address is Po Box 2252, Fayette, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629739818.

Contact Information

	Alicia R Berry-kaho, LPN
	90 Avendale Road, Fayette, MS 39069
	(601) 451-5018
	(601) 451-5018

Provider's Profile

Full Name	Alicia R Berry-kaho
Gender	Female
Speciality	Licensed Practical Nurse
Location	90 Avendale Road, Fayette, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1629739818
Provider Enumeration Date: 01/10/2022
Last Update Date: 01/10/2022

Medical Identifiers

Medical identifiers for Alicia R Berry-kaho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629739818	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	320763 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alicia R Berry-kaho is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alicia R Berry-kaho, LPN Po Box 2252, Fayette, MS 39069-2252 Ph: (601) 451-5018	Alicia R Berry-kaho, LPN 90 Avendale Road, Fayette, MS 39069 Ph: (601) 451-5018

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Alicia R Berry-kaho, LPN - Licensed Practical Nurse in Fayette, MS