Individual
MR. KEN BEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
7430 HIGHWAY 45 S, RAMER, TN 38367-5224
(731) 610-5256
Mailing address
7430 HIGHWAY 45 S, RAMER, TN 38367-5224
(731) 610-5256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000022085
TN
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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