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Individual
MRS. VICKY M. BEALL
Active
Individual
MRS. VICKY M. BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3284P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000697072
ANTHEM
KY
01
—
50030474
PASSPORT
KY
05
—
78005501
—
KY
Enumeration date
05/10/2006
Last updated
12/10/2020
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