Individual
DEIDRA DAWN BESHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5116
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(859) 257-7910
(859) 257-7899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35807
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64105380
—
KY
Enumeration date
08/02/2006
Last updated
07/08/2007
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