Individual
KAITLYN D BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT,CCMA
Contact information
Practice address
5120 PIN OAK DR, ROANOKE, VA 24019-2512
(276) 730-5065
Mailing address
4727 VALLEY VIEW BLVD NW # 1027, ROANOKE, VA 24012-2000
(276) 730-5065
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
64104
VA
Other
Enumeration date
12/18/2023
Last updated
01/09/2024
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