Dr KIMBERLY M BERRY DIVINAGRACIA is a female medical professional, specializing in Physician Assistant. She graduated in 2006.
SCRIPPS HEALTH
354 SANTA FE DR
ENCINITAS
CA
920245142
Tel: 7606336501
| Npi | 1205059086 |
| Pac Id | 1658468392 |
| Professional Enrollment Id | I20071029000209 |
| Last Name | BERRY DIVINAGRACIA |
| First Name | KIMBERLY |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SCRIPPS HEALTH |
| Group Practice Pac Id | 9234033853 |
| Number Of Group Practice Members | 1067 |
| Line 1 Street Address | 354 SANTA FE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ENCINITAS |
| State | CA |
| Zip Code | 920245142 |
| Phone Number | 7606336501 |
| Hospital Affiliation Ccn 1 | 050503 |
| Hospital Affiliation Lbn 1 | SCRIPPS MEMORIAL HOSPITAL - ENCINITAS |
| Hospital Affiliation Ccn 2 | 050324 |
| Hospital Affiliation Lbn 2 | SCRIPPS MEMORIAL HOSPITAL LA JOLLA |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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