Individual
KIMBERLY MICHELLE BEAVERS
Active
Individual
KIMBERLY MICHELLE BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
297339
NY
2085R0202X
Diagnostic Radiology Physician
Primary
ME128578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107828500
—
FL
01
—
S6029
MEDICARE HF
FL
Enumeration date
06/19/2015
Last updated
07/31/2026
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