Beaton, Kendra M

Beaton, Kendra M is an individual health care provider with primary practice located at 45 Groover Loop Ste 201 , St Augustine FL 32086-6586. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Beaton, Kendra M can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
45 Groover Loop Ste 201 St Augustine FL 32086-6586
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109008 Florida

Profile Details

NPI number 1205212529
LBN Legal business name Beaton, Kendra M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2015
Last updated Jul 28th, 2025 - about last year

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 1205212529 NPPES
Florida MEDICAID 107982600

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