Individual
DR. KENYA BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P. EDD
Contact information
Practice address
16 PINE HILL LN, DIX HILLS, NY 11746-6526
(631) 278-3805
Mailing address
16 PINE HILL LN, DIX HILLS, NY 11746-6526
(631) 278-3805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
304135
NY
Other
Enumeration date
07/06/2006
Last updated
02/21/2013
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