DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH LEE BEADLE, DSC, PA-C

Active

DR. KENNETH LEE BEADLE, DSC, PA-C is a Physician Assistant healthcare provider located in APO, APO/FPO Pacific. NPI 1407844087 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · APO, AP

Registration Details

NPI Number
1407844087
Provider Type
Individual
Gender
Male
NPI Issued
Oct 8, 2005 (20.809827808988 yrs)
Last Updated
Aug 21, 2019
Licenses
PA9108590 (FL)
PA08690 (TX)

Practice Information

Address
549TH HC/BAACH
UNIT 15245
APO, AP, 96271
Browse AP providers · Browse ZIP 96271
Phone
3157573536
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in APO, AP

Name Credential NPI
MR. SHAWN TERRENCE LOCKETT PA 1932198439
MR. CHRISTOPHER DAVID DADIVAS PA-C 1205813862
MS. MELINDA JANINE ARMSTRONG PHYSICIAN ASSISTANT 1558349928
KIMBERLY JO HAITH PA-C 1174569164
MISS PIA SIOSON SANTOS PA-C 1629185798
MR. WILLARD BOYD MCDOUGAL PA - CERTIFIED 1649327271
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.