Individual
MS. MIRANDA KATELYN BEVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 RIDGEVIEW DR, SMITHFIELD, PA 15478-1650
(724) 569-8100
(724) 569-8368
Mailing address
245 NEFF RD, JEFFERSON, PA 15344-4210
(724) 317-7642
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061628
PA
Other
Enumeration date
11/13/2020
Last updated
09/27/2022
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