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Individual

KEVIN M BESHLIAN

Active
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Individual

KEVIN M BESHLIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD00021033
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039572
LABOR & INDUSTRY
WA
01
240007139
RAILROAD MEDICARE
01
3331BE
BLUE SHIELD
WA
05
8275869
WA
01
MD5119W
AK DSHS
WA
01
US5898036
AETNA/USHC SPECIALIST
WA
Enumeration date
08/25/2006
Last updated
04/13/2012
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