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Individual

MISS KIMBERLY MARIE BEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
41676 VETERANS AVENUE, HAMMOND, LA 70403
(855) 925-4733
Mailing address
41676 VETERANS AVENUE, HAMMOND, LA 70403
(855) 925-4733

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07421
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00075752
MEDICAID (MS)
MS
05
2376918
LA
Enumeration date
11/07/2013
Last updated
03/08/2016
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