Dr. Kevin Richard Beach, M.D.
Emergency Medicine in Tampa, FL. Individual provider (NPI-1).
NPI number1144434614
StatusActive
Last updated in NPPESJan 22, 2010
Details
- NPI
- 1144434614
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Richard Beach
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2007
- Last updated
- Jan 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | TRN11389 | FL | Yes |
| 2080H0002X | Pediatrics, Hospice and Palliative Medicine | MT185033 | PA |
Practice location
1 Davis BlvdSuite 504
Tampa, FL 33606-3463
Phone 813-627-5931
Mailing address
113 S Melville Ave Apt 4Tampa, FL 33606-1861
Phone 410-804-7070
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