Individual
DR. KEVIN A. BEADLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 ALHAMBRA AVE, MARTINEZ, CA 94553-3156
(925) 370-5112
Mailing address
1120 EUCLID AVE, BERKELEY, CA 94708-1603
(510) 528-9857
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G075050
CA
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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