Individual
DR. CRAIG MICHAEL BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-3124
(913) 588-5000
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
95-00026
KS
207RP1001X
Pulmonary Disease Physician
95-00026
KS
Other
Enumeration date
04/10/2021
Last updated
06/29/2025
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