Beal, Kemmarie C

Beal, Kemmarie C is an individual health care provider with primary practice located at 340 Broad St Ste 304 , Windsor CT 06095-3030. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Beal, Kemmarie C can be contacted via phone (860) 776-0187.

Contact Information

Primary practice address
340 Broad St Ste 304 Windsor CT 06095-3030
Phone: (860) 776-0187
Fax: (815) 205-4087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 004289 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4289 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 004289 Connecticut

Profile Details

NPI number 1780914374
LBN Legal business name Beal, Kemmarie C
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2010
Last updated Jun 18th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780914374 NPPES
Connecticut Other 004289 LICENSE

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