Individual
KIM BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 TAMIDAN ROAD, POUGHKEEPSLE, NY 12601
(215) 251-9168
Mailing address
16 TAMIDAN ROAD, POUGHKEEPSLE, NY 12601
(215) 251-9168
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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