Individual
GENIE LYNN KAHN BEASLEY
Active
Individual
GENIE LYNN KAHN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
TRN11451
FL
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME106245
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009033800
—
FL
Enumeration date
06/18/2007
Last updated
08/13/2013
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