Kenneth A Beasley is a Urology in Liverpool, New York. Kenneth A Beasley practices all healthcare services and medical treatments related to Urology. The NPI Number for Kenneth A Beasley is 1710960414. The last update date is 2020-02-10.
Kenneth A Beasley's current location address is 100 Metropolitan Park Dr Ste 100, Liverpool, New York. You can contact this provider via phone number 3158709370 and fax number 3158709364. The mailing address for Kenneth A Beasley is 100 Metropolitan Park Dr Ste 100, Liverpool, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A Beasley |
|---|---|
| Address | 100 Metropolitan Park Dr Ste 100, Liverpool, New York |
| Phone Number | 3158709370 |
| Fax Number | 3158709364 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710960414 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2020-02-10 |
Provider Mailing Address Detail
| Address | 100 Metropolitan Park Dr Ste 100 |
|---|---|
| City | Liverpool |
| State | New York (NY) |
| Post Code | 130887112 |
| Phone Number | 3158709370 |
| Fax Number | 3158709364 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 39575 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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What is the unique identification code assigned to Kenneth A Beasley by the Centers for Medicare & Medicaid Services?
The Kenneth A Beasley has been issued the NPI (National Provider Identifier) 1710960414. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenneth A Beasley?
The Kenneth A Beasley is situated at 100 Metropolitan Park Dr Ste 100, in the city of Liverpool, state of NY, with the zip code 130887112.
What is the Kenneth A Beasley's area of specialization and corresponding taxonomy classification?
The Kenneth A Beasley's specialty field is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their specialties.
On what date was the 1710960414 assigned to Kenneth A Beasley?
The Kenneth A Beasley was issued its 1710960414 on 2005-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kenneth A Beasley most recently updated or revised?
The information pertaining to Kenneth A Beasley, including its address, specialty, and other relevant details, was last updated or revised on 2020-02-10.
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