Beam, Kathleen Denise

Beam, Kathleen Denise is an individual health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Beam, Kathleen Denise can be contacted via phone (909) 580-2440.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Phone: (909) 580-2440
Fax: (909) 580-2441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN247952 California

Profile Details

NPI number 1760467666
LBN Legal business name Beam, Kathleen Denise
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Apr 17th, 2013 - about 11 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 1760467666 NPPES
Other 430079038 RAILROAD MEDICARE
MEDICAID RN2479520 RAILROAD MEDICARE

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