Individual
ANDREA BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 CAROTHERS RD, NEWPORT, KY 41071-2415
(859) 491-1010
Mailing address
710 WASHINGTON ST APT 217, COVINGTON, KY 41011-2835
(502) 548-2041
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2431DT
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2025
Last updated
08/12/2025
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