Individual
DR. KENNETH EUGENE BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
415 25TH ST NW, CLEVELAND, TN 37311-3892
(423) 476-6541
(423) 472-7719
Mailing address
415 25TH ST NW, CLEVELAND, TN 37311-3892
(423) 476-6541
(423) 472-7719
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
TN2223
TN
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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