Individual
NACHELL TASHAE BEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 N 42ND ST, LOUISVILLE, KY 40212-2606
(502) 389-7382
(502) 822-1732
Mailing address
126 N 42ND ST, LOUISVILLE, KY 40212-2606
(502) 389-7382
(502) 822-1732
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
209194
KY
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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