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Individual

KRISTY BEAL LE

Active
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Individual

KRISTY BEAL LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-02035
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127552207
VA
01
153G0
BCBS
NC
05
5912980
NC
05
Q02035
SC
Enumeration date
05/08/2006
Last updated
11/21/2019
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