NPI 1740265156 · live from the CMS NPI Registry
John Johnson Beasley, MD
Radiology, Diagnostic Radiology in Mayfield, KY. National Provider Identifier 1740265156, active.
NPI record
| NPI | 1740265156 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 132 Arbor Crest Dr, Mayfield, KY 42066 |
| Practice phone | 270-247-8710 |
| Enumerated | December 8, 2005 |
| Last updated | October 26, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 25079 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.