Individual
KALLEN JOY BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9201 N 5TH ST, PHOENIX, AZ 85020-2532
(602) 870-6348
Mailing address
9202 N 2ND ST, PHOENIX, AZ 85020-2458
(602) 786-1024
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R3807
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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