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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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