Beech, Randall Renee

Beech, Randall Renee is an sole proprietor health care provider with primary practice located at 750 Ave D West , Kingman KS 67068-1268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Beech, Randall Renee can be contacted via phone (620) 532-3147.

Contact Information

Primary practice address
750 Ave D West Kingman KS 67068-1268
Phone: (620) 532-3147
Fax: (620) 532-5221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19302 Kansas

Profile Details

NPI number 1396744223
LBN Legal business name Beech, Randall Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Nov 30th, 2010 - about 15 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 1396744223 NPPES
Kansas Other 0004070428 AETNA
Kansas Other 020007135 AETNA
Kansas MEDICAID 100154100B AETNA

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