Beaudry, Kathleen A

Beaudry, Kathleen A is an individual health care provider with primary practice located at 1919 7Th Ave S 412 School Of Dentistry Building, Birmingham AL 35233-2005. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Beaudry, Kathleen A can be contacted via phone (205) 934-4551.

Contact Information

Primary practice address
1919 7Th Ave S 412 School Of Dentistry Building Birmingham AL 35233-2005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5817 Alabama
Dental Providers / Dentist 122300000X DE60121655 Washington
Dental Providers / Periodontics 1223P0300X D444PE Idaho

Profile Details

NPI number 1508155623
LBN Legal business name Beaudry, Kathleen A
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Apr 10th, 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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