Individual
MS. KINDRA LEA BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 BEAVER DAM RD, MILLWOOD, KY 42762-9019
(270) 879-8420
(270) 879-0633
Mailing address
6700 BEAVER DAM RD, MILLWOOD, KY 42762-9019
(270) 879-8420
(270) 879-0633
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NA
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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