Individual
KELLY BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 452-9911
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 452-9911
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.11000-NA
OH
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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