Individual
SAMUEL CHARLES BEAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0293
(859) 323-1691
(859) 323-1700
Mailing address
900 S LIMESTON CTW 304, LEXINGTON, KY 40536-0293
(859) 323-9918
(859) 323-1197
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
55437
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
06/07/2024
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