Beaver, Kevin

Beaver, Kevin is an sole proprietor health care provider with primary practice located at 6225 Humphreys Blvd , Memphis TN 38120-2373. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Beaver, Kevin can be contacted via phone (901) 227-9000.

Contact Information

Primary practice address
6225 Humphreys Blvd Memphis TN 38120-2373
Phone: (901) 227-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 123038 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN 10844 Tennessee

Profile Details

NPI number 1902858350
LBN Legal business name Beaver, Kevin
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Aug 5th, 2022 - 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 1902858350 NPPES
Tennessee Other 4081894 BLUE CROSS OF TN
Tennessee Other 99664 BLUE CROSS OF TN
Tennessee MEDICAID 3633322 BLUE CROSS OF TN
Tennessee MEDICAID 04573508 BLUE CROSS OF TN
Tennessee Other P00127953 BLUE CROSS OF TN

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