Individual
KIP RANDALL BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 6TH AVE, HUNTINGTON, WV 25701-2104
(304) 525-4202
(304) 525-4231
Mailing address
612 6TH AVE, HUNTINGTON, WV 25701-2104
(304) 525-4202
(304) 525-4231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01045524B
IN
207R00000X
Internal Medicine Physician
Primary
19434
WV
207R00000X
Internal Medicine Physician
33914
KY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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