Individual
DONALD E. BEAHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3923 BROADWAY AVE, GREAT BEND, KS 67530
(620) 792-3626
(620) 792-1469
Mailing address
3923 BROADWAY AVE, GREAT BEND, KS 67530-3598
(620) 792-3626
(620) 792-1469
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-15025
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001694
BLUE CROSS/ BLUE SHIELD
KS
05
—
100084190A
—
KS
Enumeration date
02/28/2006
Last updated
08/13/2018
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