Organization
VARICOSE VEIN TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT A BEAMS MD (OWNER)
(812) 325-2341
Entity
Organization
Contact information
Practice address
3901 DUTCHMAN'S LANE, SUITE 202, LOUISVILLE, KY 40207-4722
(502) 897-1010
(502) 897-1008
Mailing address
3901 DUTCHMAN'S LANE, SUITE 202, LOUISVILLE, KY 40207-4722
(502) 897-1010
(502) 897-1008
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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