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Individual

KELLY D BEAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1060 E 100 S, L10, SALT LAKE CITY, UT 84102
(801) 328-1260
(801) 350-4361
Mailing address
1060 E 100 S, L10, SALT LAKE CITY, UT 84102
(801) 328-1260
(801) 350-4361

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1821661205
UT
208M00000X
Hospitalist Physician
Primary
1821661205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D1895
UT
Enumeration date
02/14/2006
Last updated
07/30/2015
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