Kerry a Beasley, AUD

Practice location

Address

77 W Forest Ave STE 212, Flagstaff, AZ 86001-1481

Phone

(928) 773-2222

Fax

(928) 773-2287

Mailing address

PO Box 31210, Flagstaff, AZ 86003-1210

Registered specialties

Registry record

NPI

1053853945

Entity type

Individual

Sex (as registered)

Female

NPI issued

9 Nov 2016

Record last updated

12 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.