Individual
LEONARD BEACHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(513) 672-3309
(513) 672-3323
Mailing address
11490 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3524
(513) 672-3309
(513) 672-3323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1021658
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000537079
ANTHEM
—
05
—
0854624
—
OH
05
—
74017211
—
KY
01
—
9130427
PHCS
—
Enumeration date
09/21/2005
Last updated
02/28/2008
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