Individual
DR. NATHANIEL BEACHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4915 NORTON HEALTHCARE BLVD STE 301, LOUISVILLE, KY 40241-2866
(502) 394-6460
(502) 394-6465
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
56284
KY
2084N0600X
Clinical Neurophysiology Physician
Primary
56284
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100832590
—
KY
Enumeration date
04/10/2017
Last updated
02/05/2025
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