KATHY BEARD NPI 1417242710

NPI Information

  • NPI: 1417242710
  • Provider Name: KATHY BEARD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 405 ROY MARTIN RD
    STE 104
    GRAY, TN
    ZIP 37615
  • Phone: (423) 207-0154

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NPI Details

Kathy Beard is a specialist in Gray, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Kathy Beard NPI is 1417242710. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

405 ROY MARTIN RD
STE 104
GRAY, TN
ZIP 37615-551
Phone: (423) 207-0154

The enumeration date for this NPI number is 6/14/2011 and was last updated on 6/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistTENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13025259MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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