Beitzel, Kim S

Beitzel, Kim S is an individual health care provider with primary practice located at 2222 Philadelphia Drive , Dayton OH 45406-1891. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Beitzel, Kim S can be contacted via phone (937) 278-2612.

Contact Information

Primary practice address
2222 Philadelphia Drive Dayton OH 45406-1891
Phone: (937) 278-2612
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN138213 Ohio

Profile Details

NPI number 1891768891
LBN Legal business name Beitzel, Kim S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1891768891 NPPES
Ohio MEDICAID 0756365
Ohio Other 000000274837

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