Individual
MRS. KELLI JO BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MIDWIFE
Contact information
Practice address
1201 W TEXAS AVE, MIDLAND, TX 79701-6173
(432) 687-4645
(432) 687-4645
Mailing address
1201 W TEXAS AVE, MIDLAND, TX 79701-6173
(432) 687-4645
(432) 687-4645
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
96043
TX
Other
Enumeration date
07/05/2006
Last updated
07/19/2012
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