Individual
KERRY LEE BEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
506 LAUREL ST, BRAINERD, MN 56401-3526
(218) 829-0946
(218) 829-1279
Mailing address
506 LAUREL ST, BRAINERD, MN 56401-3526
(218) 829-0946
(218) 829-1279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1641
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81144BE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/14/2006
Last updated
12/14/2007
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