Individual
KENNETH ROBERT BEAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 HARTNELL AVE, REDDING, CA 96002-1845
(530) 226-7651
Mailing address
12125 LAKE BLVD SPC 51, REDDING, CA 96003-0781
(208) 659-7818
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
95161840
CA
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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