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Individual

NANCY L BEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.C.

Contact information

Practice address
2626 ALEXANDRIA PIKE, HIGHLAND HEIGHTS, KY 41076-1530
(859) 781-4111
(859) 441-5214
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 781-4111
(859) 441-5214

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA160
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95000089
KY
01
970009842
RAILROAD MEDICARE
KY
Enumeration date
07/01/2006
Last updated
04/10/2020
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