Beadle, Kenneth Lee
Beadle, Kenneth Lee is an individual health care provider with primary practice located at 549Th Hc/Baach Unit 15245, Apo AP 96271. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Beadle, Kenneth Lee can be contacted via phone (315) 757-3536.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9108590 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA08690 | Texas |
Profile Details
| NPI number | 1407844087 |
|---|---|
| LBN Legal business name | Beadle, Kenneth Lee |
| Credentials | DSC, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2005 |
| Last updated | Aug 21st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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