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NPI Code Detail

MEDICARE: LAURA BEACH MD

MEDICARE:   LAURA  BEACH  MD
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
1207R00000XInternal Medicine Physician94-12794KS

General Provider Information

NPI Number : 1528901212
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA BEACH MD
Provider Business Mailing Address
First Line : 3901 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number : 913-588-1227
Fax Number : 913-588-6414
Provider Business Practice Location Address
First Line : 3901 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number : 913-588-1227
Fax Number : 913-588-6414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 06/22/2026

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Directions to “ LAURA BEACH MD” Practice Location

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