Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH DALE BEATY, MD
Active Sole ProprietorKENNETH DALE BEATY, MD is a Family Medicine healthcare provider located in CELINA, Tennessee. NPI 1255364782 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CELINA, TN
Registration Details
- NPI Number
- 1255364782
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2006 (19.919448546672 yrs)
- Last Updated
- Jul 9, 2007
- License
-
34968 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 OLD JEFFERSONCELINA, TN, 385510217Browse TN providers · Browse ZIP 38551
- Phone
- 9312436725
- Fax
- 9312436727
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CELINA, TN
| Name | Credential | NPI |
|---|---|---|
| HARRY HORNE | DO | 1992743322 |
| ROBERTO S MAURICIO | MD | 1184711673 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.