Beaudry, Katherine Ann
Beaudry, Katherine Ann is an sole proprietor health care provider with primary practice located at 5401 N Knoxville Ave Ste 115 , Peoria IL 61614-5095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Beaudry, Katherine Ann can be contacted via phone (309) 691-2903.Contact Information
Primary practice address
5401 N Knoxville Ave Ste 115
Peoria IL 61614-5095
Phone: (309) 691-2903
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036136919 | Illinois |
Profile Details
| NPI number | 1659667954 |
|---|---|
| LBN Legal business name | Beaudry, Katherine Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2011 |
| Last updated | Apr 8th, 2020 - about 6 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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