Individual
MR. KEAN TIMOTHY BEIERSCHMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
702 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 633-5333
(252) 633-9443
Mailing address
PO BOX 12248, NEW BERN, NC 28561-2248
(252) 514-6685
(252) 514-2745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02558
NC
363AM0700X
Medical Physician Assistant
0110003375
VA
Other
Enumeration date
11/03/2010
Last updated
03/13/2017
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