Organization
KAB MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT A BEAMS M.D. (PRESIDENT)
(812) 323-3275
Entity
Organization
Contact information
Practice address
2998 S SARE RD, BLOOMINGTON, IN 47401-4330
(812) 325-3275
(812) 829-2596
Mailing address
2998 S SARE RD, BLOOMINGTON, IN 47401-4330
(812) 325-3275
(812) 829-2596
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01057486A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780682062
NPI
—
Enumeration date
11/05/2007
Last updated
11/05/2007
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