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NPI Code Detail

MEDICARE: BRENDA LOUISE BEATY DC

MEDICARE: BRENDA LOUISE BEATY DC
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
1111N00000XChiropractor0103974KS

General Provider Information

NPI Number : 1215099361
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA LOUISE BEATY DC
Provider Business Mailing Address
First Line : 14044 S ALCAN ST
Second Line :
City : OLATHE
State : KS
Zip : 66062-6064
Country : US
Telephone Number : 913-634-7084
Fax Number :
Provider Business Practice Location Address
First Line : 2110 E SANTA FE ST
Second Line : FULK CHIROPRACTIC, PA
City : OLATHE
State : KS
Zip : 66062-1607
Country : US
Telephone Number : 913-764-6237
Fax Number : 913-397-8230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 07/08/2007

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Directions to “ BRENDA LOUISE BEATY DC” Practice Location

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