Individual
DR. KERSTIN C BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
277 EAST 17TH STREET, SYRACUSE, NE 68446
(402) 269-2411
(402) 269-3369
Mailing address
1579 MIDLAND ST, SYRACUSE, NE 68446-9732
(402) 269-2011
(402) 269-2795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16235
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054
MIDLANDS CHOICE
NE
01
—
7348
BCBS OF NEBRASKA
NE
01
—
80119686
MEDICARE RAILROAD
NE
Enumeration date
07/31/2006
Last updated
09/25/2007
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