Whalio Doctors

NPI 1740239862

Kenneth Bryan Beach, CRNA

Practitioner Certified Registered Nurse Anesthetist West Union, IA

Practice location

Address
112 Jefferson St, West Union, IA 52175-1022
Phone
(563) 422-9738
Mailing address
13646 240th St, West Union, IA 52175-9419

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence D-119341 (IA)

Registry record

NPI
1740239862
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 May 2006
Record last updated
25 Jan 2010

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.