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Individual
NANCY L BEACH
Active
Individual
NANCY L BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA160
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95000089
—
KY
01
—
970009842
RAILROAD MEDICARE
KY
Enumeration date
07/01/2006
Last updated
04/10/2020
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