Individual provider · NPI-1

Dr. Jeffrey Lawrence Beasley, DO

Hospitalist · Kansas City, KS

NPI number1285832113
StatusActive
Last updated in NPPESAug 19, 2011

Details

NPI
1285832113
Entity type
Individual (NPI-1)
Name
Dr. Jeffrey Lawrence Beasley
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 3, 2007
Last updated
Aug 19, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist05-34376KSYes
207R00000X Internal Medicine9406849KS

Practice location

3901 Rainbow Blvd Ms 6040
Kansas City, KS 66160

Phone 913-588-6005 · Fax 913-588-3877

Mailing address

3901 Rainbow Blvd Ms 6040
Kansas City, KS 66160

Phone 913-588-6005 · Fax 913-588-3877

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