# MRS. REBECCA LOU BEAUCHAMP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1427364926
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZC0007X | Surgical Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | 10002958A | IN | Yes |
| 363AS0400X | Surgical Physician Assistant | PA2599 | KY | — |

## Other

- **Enumeration date:** 08/23/2010
- **Last updated:** 04/11/2025