Individual
KOURTNEY BEAMESDERFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
Mailing address
183 E MAIN ST, REBERSBURG, PA 16872-9107
(814) 571-0121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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