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Individual

JEFFREY DAVID BEANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 212-5441
Mailing address
3698 WALNUT PARK DR, ALEXANDRIA, KY 41001-9502
(859) 547-2371

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1137003
KY

Other

Enumeration date
03/05/2025
Last updated
03/05/2025
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