Provider Demographics
NPI:1982984357
Name:BERBERICK, KATE MAYFIELD (DVM)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:MAYFIELD
Last Name:BERBERICK
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14717 N NEWPORT HWY
Mailing Address - Street 2:
Mailing Address - City:MEAD
Mailing Address - State:WA
Mailing Address - Zip Code:99021-9378
Mailing Address - Country:US
Mailing Address - Phone:509-466-7115
Mailing Address - Fax:509-468-8044
Practice Address - Street 1:14717 N NEWPORT HWY
Practice Address - Street 2:
Practice Address - City:MEAD
Practice Address - State:WA
Practice Address - Zip Code:99021-9378
Practice Address - Country:US
Practice Address - Phone:509-466-7115
Practice Address - Fax:509-468-8044
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT00008644174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian