KEVIN BEATTY

JOPLIN, MO
NPI1902847924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  098340)
Enumeration Date2006-06-09
Last Update Date2007-10-19
Business Address
-- KEVIN BEATTY CRNA
1102 W 32ND ST
JOPLIN, MO 64804
Phone number: 417-347-1078
Mailing Address
-- KEVIN BEATTY CRNA
PO BOX 3930
JOPLIN, MO 64803
Phone number: 417-347-1078
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