IndividualActive
Kiebpoli Berry
NPI 1104623164 · Nursing Home Administrator · North Chesterfield, VA
Provider details
- NPI number
- 1104623164
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1105186 (VA)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
7001 Koufax Ct
North Chesterfield, VA 23234-8213
Phone: (804) 475-3263
Fax: (804) 825-3031
Approximate (ZIP-level) locationGet directions
Mailing address
7001 Koufax Ct
North Chesterfield, VA 23234-8213
Registry dates
- Enumerated
- 2025-02-27
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.