Individual
OLIVIA PAIGE BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 E 9TH ST, OWENSBORO, KY 42303-0337
(270) 297-7332
Mailing address
1300 E 9TH ST, OWENSBORO, KY 42303-0337
(270) 297-7332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3014110
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100663010
—
KY
01
—
ARPN3014110
STATE LICENSE
KY
Enumeration date
02/26/2020
Last updated
12/04/2024
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