Beavers, Kimberly Michelle

Beavers, Kimberly Michelle is an individual health care provider with primary practice located at 601 E Rollins St , Orlando FL 32803-1248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Beavers, Kimberly Michelle can be contacted via phone (407) 303-6973.

Contact Information

Primary practice address
601 E Rollins St Orlando FL 32803-1248
Phone: (407) 303-6973
Fax: (407) 303-7844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME128578 Florida

Profile Details

NPI number 1871975474
LBN Legal business name Beavers, Kimberly Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2015
Last updated Jun 18th, 2024 - about 3 months 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 1871975474 NPPES
Florida Other S6029 MEDICARE HF
Florida MEDICAID 107828500 MEDICARE HF

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