Individual
DR. KATHERINE ANN BEAUDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5401 N KNOXVILLE AVE STE 115, PEORIA, IL 61614-5095
(309) 691-2903
Mailing address
5401 N KNOXVILLE AVE STE 115, PEORIA, IL 61614-5095
(309) 691-2903
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036136919
IL
Other
Enumeration date
06/24/2011
Last updated
04/08/2020
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