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KRISTY MICHELLE BEAMON PA

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1972869592

Individual Registrant:
 KRISTY MICHELLE BEAMON PA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1701 CLUB MANOR DR SUITE 2 MAUMELLE, AR 72113-7400 US
Tel: 501-851-7400  Fax: 501-851-4753

Contact information for business:
11001 EXECUTIVE CENTER DR SUITE 200 LITTLE ROCK, AR 72211-4316 US
Tel: 501-812-7216  Fax: --

Registration Information:
NPI: 1972869592
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
ARPA-478

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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