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1518606029
KENNEDY BEAVEN
NEWBURGH, IN
NPI
1518606029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10003619A)
Enumeration Date
2022-06-02
Last Update Date
2022-06-02
Business Address
KENNEDY BEAVEN PA
4199 GATEWAY BLVD
NEWBURGH, IN 47630-8940
Phone number: 812-842-4200
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Mailing Address
KENNEDY BEAVEN PA
PO BOX 637273
CINCINNATI, OH 45263-7273
Phone number: 812-842-4260
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