KENNETH BRYAN BEACH

WEST UNION, IA
NPI1740239862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IA  D-119341)
Enumeration Date2006-05-08
Last Update Date2010-01-25
Business Address
-- KENNETH BRYAN BEACH CRNA
112 JEFFERSON ST
WEST UNION, IA 52175-1022
Phone number: 563-422-9738
Mailing Address
-- KENNETH BRYAN BEACH CRNA
13646 240TH ST
WEST UNION, IA 52175-9419
Phone number: 563-422-5386