Individual
DR. KENT A BEAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6950 S PEARL DR, CHANDLER, AZ 85249
(812) 325-3275
(480) 207-6307
Mailing address
14060 BISCAYNE BLVD APT 814, NORTH MIAMI BEACH, FL 33181-1566
(812) 325-3275
(786) 565-9386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057486A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20055670
—
IN
Enumeration date
07/12/2005
Last updated
07/16/2018
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