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NPI Code Detail

MEDICARE: MRS. KATHLEEN L BEERS RN

MEDICARE: MRS. KATHLEEN L BEERS RN
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
1163WS0200XSchool Registered Nurse203533NY

General Provider Information

NPI Number : 1699077214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN L BEERS RN
Provider Business Mailing Address
First Line : 70 MALTA AVE
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-1529
Country : US
Telephone Number : 518-884-7290
Fax Number : 518-884-7286
Provider Business Practice Location Address
First Line : 70 MALTA AVE
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-1529
Country : US
Telephone Number : 518-884-7290
Fax Number : 518-884-7286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2010
Last Update Date : 02/08/2026

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