Individual
RICHARD BLAINE BEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2156 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1669
(859) 282-6700
(859) 282-6760
Mailing address
2156 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1669
(859) 282-6700
(859) 282-6760
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35061
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
35061
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64061971
—
KY
Enumeration date
06/20/2006
Last updated
03/05/2025
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