Individual
DR. KAREN ANN BEATHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5308 E 115TH ST, KANSAS CITY, MO 64137-2731
(816) 763-9165
(816) 763-9208
Mailing address
1206 SE 3RD ST, LEES SUMMIT, MO 64063-3304
(816) 525-6941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1H88
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24247800
—
MO
Enumeration date
05/27/2005
Last updated
07/08/2007
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