Individual
EVELYN DENISE BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7207 AUSTINWOOD RD, LOUISVILLE, KY 40214-5925
(502) 749-0430
Mailing address
7207 AUSTINWOOD RD, LOUISVILLE, KY 40214-5925
(502) 749-0430
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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