MEDICARE: KATHRYN BEVEL

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
1	163W00000X	Registered Nurse	1080001	TX

General Provider Information

NPI Number	:	1891591400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN BEVEL

Provider Business Mailing Address
First Line	:	136 LOST MINE PEAK LN
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-2777
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 LOST MINE PEAK LN
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-2777
Country	:	US
Telephone Number	:	512-992-8294
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/24/2025

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Directions to “ KATHRYN BEVEL ” Practice Location

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