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Kelly Dean Beaumont, PA

Pediatrics, Adolescent Medicine in St George, UT. Individual provider (NPI-1).

NPI number1548369341
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1548369341
Entity type
Individual (NPI-1)
Name
Mr. Kelly Dean Beaumont
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Sep 21, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine100872-1206UTYes

Practice location

1240 E 100 S Ste 14
St George, UT 84790-3005

Phone 435-628-8232 · Fax 435-674-7994

Mailing address

1240 E 100 S Ste 14
St George, UT 84790-3005

Phone 435-628-8232 · Fax 435-674-7994

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