NPI 1083049985

Katie Lyn Beahm, PAC

Practitioner Physician Assistant Onalaska, WI

Practice location

Address: 191 Theater Rd, Onalaska, WI 54650-8679
Phone: (608) 785-0940
Mailing address: 200 1st St SW, Rochester, MN 55905-0002

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3194 - 23 (WI)

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Registry record

NPI: 1083049985
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2013
Record last updated: 23 Apr 2021

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.