Individual
CHARLES E BEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 E PARRISH AVE, OWENSBORO MEDICAL HEALTH SYSTEMS, OWENSBORO, KY 42303
(270) 685-5165
(270) 683-0256
Mailing address
PO BOX 807, RADIOLOGY PSC, OWENSBORO, KY 42302-0807
(270) 685-5165
(270) 683-0256
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27598
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64275985
—
KY
Enumeration date
09/27/2006
Last updated
07/08/2007
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