Beamon, Kristy Michelle

Beamon, Kristy Michelle is an individual health care provider with primary practice located at 2000 S Promenade Blvd Ste 202 , Rogers AR 72758-8609. 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. Beamon, Kristy Michelle can be contacted via phone (479) 427-7722.

Contact Information

Primary practice address
2000 S Promenade Blvd Ste 202 Rogers AR 72758-8609
Phone: (479) 427-7722
Fax: (479) 427-7721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2023007996 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-478 Arkansas

Profile Details

NPI number 1972869592
LBN Legal business name Beamon, Kristy Michelle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2012
Last updated May 10th, 2023 - 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 1972869592 NPPES
Arkansas MEDICAID 294880795
Arkansas MEDICAID 220121732

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