Individual
KELLY E BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 CHURCH ST N STE 210, CONCORD, NC 28025-4374
(704) 795-6002
Mailing address
PO BOX 734, LAWNDALE, NC 28090-0734
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1344
NC
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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