Beshiers, Kenneth

Beshiers, Kenneth is an individual health care provider with primary practice located at 4407 Amarillo St , Blytheville AR 72315-5702. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Beshiers, Kenneth can be contacted via phone (870) 532-2229.

Contact Information

Primary practice address
4407 Amarillo St Blytheville AR 72315-5702
Phone: (870) 532-2229
Fax: (870) 532-8732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA3837

Profile Details

NPI number 1558764746
LBN Legal business name Beshiers, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2014
Last updated Oct 1st, 2014 - about 11 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 1558764746 NPPES
Arkansas MEDICAID 204352721

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