Beavers, Kimberly Lorraine
Beavers, Kimberly Lorraine is an individual health care provider with primary practice located at 520 N Elam Ave , Greensboro NC 27403-1127. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Beavers, Kimberly Lorraine can be contacted via phone (336) 547-1745.Contact Information
Primary practice address
520 N Elam Ave
Greensboro NC 27403-1127
Phone: (336) 547-1745
Fax: (336) 547-1827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 37429 | South Carolina |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01059021A | Indiana |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | 37429 | South Carolina |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 9900013 | North Carolina |
Profile Details
| NPI number | 1912996042 |
|---|---|
| LBN Legal business name | Beavers, Kimberly Lorraine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Feb 16th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912996042 | NPPES |
| North Carolina | Other | 2011291 | UNITED HEALTHCARE |
| North Carolina | Other | 126KV | UNITED HEALTHCARE |
| North Carolina | MEDICAID | 89126KV | UNITED HEALTHCARE |
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