Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHERINE ANN BEAUDRY, M.D.
Active Sole ProprietorDR. KATHERINE ANN BEAUDRY, M.D. is a Dermatology healthcare provider located in PEORIA, Illinois. NPI 1659667954 is currently active in the NPPES registry. Verify at CMS.
Dermatology · PEORIA, IL
Registration Details
- NPI Number
- 1659667954
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2011 (14.953960082216 yrs)
- Last Updated
- Apr 8, 2020
- License
-
036136919 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5401 N KNOXVILLE AVE STE 115PEORIA, IL, 616145095Browse IL providers · Browse ZIP 61614
- Phone
- 3096912903
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL L HAYES | D.O. | 1912017245 |
| HARRY C STONE | M.D. | 1538250220 |
| CHRISTOPHER T KROODSMA | M.D. | 1336230051 |
| BRUCE A MCLELLAND | M.D. | 1689762189 |
| JAMIE LYNN FREY | MD | 1639391006 |
| DR. JOSHUA BRADLEY KENTOSH | D.O. | 1902096928 |
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.