NPI Code Detail JSON Logo

1861595472 NPI number — KIMBERLY ANN BESUDEN DC

NPI Number: 1861595472
Health Care Provider/Practitioner: KIMBERLY ANN BESUDEN DC

Information about “1861595472” NPI (KIMBERLY ANN BESUDEN DC) exists in 1861595472 in HTML format HTML  |  1861595472 in plain Text format TXT  |  1861595472 in PDF (Portable Document Format) PDF  |  1861595472 in an XML format XML  formats.

NPI Number : 1861595472 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861595472",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BESUDEN",
    "FirstName": "KIMBERLY",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2430 S BAY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EUSTIS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32726-6363",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-357-7244",
    "MailingAddressFaxNumber": "352-357-7246",
    "FirstLinePracticeLocationAddress": "2430 S BAY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EUSTIS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32726-6363",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-357-7244",
    "PracticeLocationAddressFaxNumber": "352-357-7246",
    "EnumerationDate": "09/07/2006",
    "LastUpdateDate": "12/07/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "PLCH0006850",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.