Individual
KATHLEEN BEAVER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 W SPROUL RD, CROZER - SPRINGFIELD DIVISION, SPRINGFIELD, PA 19064-2027
(610) 328-8700
(610) 617-6280
Mailing address
PO BOX 13973, HAN - EMERGENCY PHYSICIANS, PHILADELPHIA, PA 19101-3973
(800) 666-2455
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD029171
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134359
—
PA
Enumeration date
05/24/2006
Last updated
07/08/2007
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