Organization
WILLIAM T BEASLEY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T BEASLEY DPM (OWNER)
(502) 366-1479
Entity
Organization
Contact information
Practice address
4602 SOUTHERN PKWY, 1B, LOUISVILLE, KY 40214-1442
(502) 366-1479
(502) 366-6718
Mailing address
4602 SOUTHERN PKWY, 1B, LOUISVILLE, KY 40214-1442
(502) 366-1479
(502) 366-6718
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00126
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80903685
—
KY
Enumeration date
01/23/2007
Last updated
08/28/2013
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