Individual
KAREN BEABOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
8731 PARK PLAZA DR, SHREVEPORT, LA 71105-5682
(318) 797-5848
(318) 797-5844
Mailing address
8731 PARK PLAZA DR, SHREVEPORT, LA 71105-5682
(318) 797-5848
(318) 797-5844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200412
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12603743
CAQH
—
05
—
2134256
—
LA
01
—
2951397
WELLCARE
—
01
—
60434278
AMERIHEALTH CARITAS
LA
01
—
8963002
CIGNA
—
01
—
9496680
AETNA
—
Enumeration date
12/02/2010
Last updated
05/19/2025
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