# KORRIE B BEVERLEY-WATERS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356608368
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 34.016182 | OH | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | DO2535 | ME | — |
| 207Q00000X | Family Medicine Physician | DO2535 | ME | — |

## Other

- **Enumeration date:** 04/15/2012
- **Last updated:** 12/27/2022