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NPI Code Detail

MEDICARE: KATHERN BEASLEY B.S.

MEDICARE:   KATHERN  BEASLEY  B.S.
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
1171R00000XInterpreter

General Provider Information

NPI Number : 1528348992
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERN BEASLEY B.S.
Provider Business Mailing Address
First Line : 4885 E CAREY AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-5529
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4885 E CAREY AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-5529
Country : US
Telephone Number : 702-555-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2011
Last Update Date : 02/05/2026

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Directions to “ KATHERN BEASLEY B.S.” Practice Location

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