NPI 1811485725

Richard McKinley Beanum

Practitioner Private Vehicle Fredericksburg, VA

Practice location

Address: 56 Cynthias Pl APT 302, Fredericksburg, VA 22406-7436
Phone: (540) 898-0787

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence T67317368 (VA)

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Registry record

NPI: 1811485725
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2018
Record last updated: 26 Apr 2018

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.