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Individual

KRISTOPHER J BEICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 N ELM ST, # 2, HENDERSON, KY 42420-2385
(270) 831-6651
(270) 831-1133
Mailing address
PO BOX 13059, BELFAST, ME 04915-4021
(317) 583-3022
(317) 583-2199

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01056423A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
39183
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000761343
ANTHEM PIN
05
201054740
IN
05
65939613
KY
Enumeration date
03/01/2006
Last updated
04/11/2016
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