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General NPI Number Information
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NPI Number | 1689673899
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Entity Type | Individual
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Provider Name | DANIEL D. BEINEKE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 1210 KY HIGHWAY 36 E
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City | CYNTHIANA
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State | KY
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Zip | 41031-7498
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Country | US
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Telephone | 859-234-2300
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Fax | 859-235-3699
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Provider Business Mailing Address
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Address Line | 1700 EASTPOINT PKWY SUITE 220
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City | LOUISVILLE
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State | KY
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Zip | 40223-4140
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Country | US
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Telephone | 502-753-4949
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Fax | 502-753-4950
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 19217
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 19217
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 35.030273
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License Number State | OH
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