Individual
BETSY J BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 PEACHTREE ST, ELIZABETHTOWN, KY 42701-1650
(270) 769-5652
Mailing address
122 PEACHTREE ST, ELIZABETHTOWN, KY 42701-1650
(270) 769-5652
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
FIRST STEPS- KY CABINET FOR HEALTH AND FAMILY SERVICES
KY
Enumeration date
06/27/2008
Last updated
06/27/2008
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