Organization
OPEN MRI OF BEAVER VALLEY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L KINEMOND (OWNER)
(740) 266-4908
Entity
Organization
Contact information
Practice address
3468 BRODHEAD RD, MONACA, PA 15061-3149
(724) 728-2991
(724) 728-1961
Mailing address
3468 BRODHEAD RD, MONACA, PA 15061-3149
(724) 728-2991
(724) 728-1961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00199077930001
—
PA
Enumeration date
05/18/2006
Last updated
07/20/2010
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