MEDICARE: DR. KARA DAWN BEASLEY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	OS014221	PA
2	207T00000X	Neurological Surgery Physician	05-52446	KS
3	207T00000X	Neurological Surgery Physician	25MB08422200	NJ

General Provider Information

NPI Number	:	1255588190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARA DAWN BEASLEY D.O.

Provider Business Mailing Address
First Line	:	PO BOX 9049
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-9049
Country	:	US
Telephone Number	:	303-938-5700
Fax Number	:	303-998-0007

Provider Business Practice Location Address
First Line	:	4743 ARAPAHOE AVE
Second Line	:	SUITE 202
City	:	BOULDER
State	:	CO
Zip	:	80303-1113
Country	:	US
Telephone Number	:	303-938-5700
Fax Number	:	303-998-0007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2008
Last Update Date	:	02/02/2026

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