Individual
BRIAN J BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
106 S MAIN ST, DRY RIDGE, KY 41035-9406
(859) 824-1444
Mailing address
106 S MAIN ST, DRY RIDGE, KY 41035-9406
(859) 824-1444
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00254
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80002546
—
KY
Enumeration date
06/27/2005
Last updated
07/30/2008
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