Individual
DR. KATHLEEN BEACH JACKSON DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2013-02190
NC
2084P0800X
Psychiatry Physician
35C.004113
OH
2084P0804X
Child & Adolescent Psychiatry Physician
2013-02190
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720379514
—
NC
01
—
NCU353B
PTAN (PSYCHIATRY)
NC
01
—
NCU353C
PTAN (PSYCHIATRY OB)
NC
Enumeration date
04/27/2011
Last updated
05/12/2026
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