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Organization

RESTORATIVE PAIN INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY BEACHAM MD (OWNER)
(502) 515-4903
Entity
Organization

Contact information

Practice address
4201 SPRINGHURST BLVD STE 102, LOUISVILLE, KY 40241-6156
(502) 515-6090
Mailing address
4201 SPRINGHURST BLVD STE 102, LOUISVILLE, KY 40241-6156
(502) 515-4902

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
208VP0014X
Interventional Pain Medicine Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
08/01/2023
Last updated
07/28/2025
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