Beard, Kayla Lee

Beard, Kayla Lee is an individual health care provider with primary practice located at 2645 N 3Rd St , Harrisburg PA 17110-2001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Beard, Kayla Lee can be contacted via phone (717) 782-4650.

Contact Information

Primary practice address
2645 N 3Rd St Harrisburg PA 17110-2001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP019543 Pennsylvania

Profile Details

NPI number 1124596721
LBN Legal business name Beard, Kayla Lee
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2018
Last updated Jan 23rd, 2021 - about 5 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 1124596721 NPPES
Pennsylvania MEDICAID 103603398

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