Individual
KATHY BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 ROY MARTIN RD, STE 104, GRAY, TN 37615-2551
(423) 207-0154
Mailing address
405 ROY MARTIN RD, STE 104, GRAY, TN 37615-2551
(423) 207-0154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TN
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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