Organization
BEAUMONT PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLETUS SAVIO CARVALHO (AUTHORIZED OFFICIAL)
(859) 263-3888
Entity
Organization
Contact information
Practice address
3070 LAKECREST CIR, SUITE 400, PMB197, LEXINGTON, KY 40513-1937
(859) 737-0904
(859) 737-0902
Mailing address
3070 LAKECREST CIR, SUITE 400, PMB 197, LEXINGTON, KY 40513-1937
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64059330
—
KY
Enumeration date
07/27/2015
Last updated
06/14/2019
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