Individual
BRANDI LEE BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1257 PRATER RD, OLIVE HILL, KY 41164-9309
(606) 315-4623
Mailing address
1257 PRATER RD, OLIVE HILL, KY 41164-9309
(606) 315-4623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84338
KY
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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