CHARLES JORDAN BEACH

LEXINGTON, KY
NPI1033848338
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: KY  3017848)
Enumeration Date2022-06-10
Last Update Date2022-11-07
Business Address
CHARLES JORDAN BEACH APRN
1 SAINT JOSEPH DR
LEXINGTON, KY 40504-3742
Phone number: 859-313-1000
Mailing Address
CHARLES JORDAN BEACH APRN
3449 WINDYKNOLL DR
LEXINGTON, KY 40515-5851
Phone number: 270-564-5877
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