Individual
PHILLIP BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 N LAMAR AVE, HAYSVILLE, KS 67060-1266
(316) 524-3211
Mailing address
919 E WEDGEWOOD DR, DERBY, KS 67037-1945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2512
KS
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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