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Dr. Kelsey Lea Bean, MD
Military Health Care Provider in Fort Leonard Wood, Missouri
NPI 1316470982

Kelsey Lea Bean is a Military Health Care Provider based in Fort Leonard Wood, MO. Kelsey Lea Bean practices in Fort Leonard Wood, MO and has the professional credentials of MD. The NPI Number for Kelsey Lea Bean is 1316470982 and holds a License No. (Missouri).

The current practice location address for Kelsey Lea Bean is 4430 Missouri Ave, Fort Leonard Wood, MO and can be reached out via phone at 573-596-0417.

Location: 4430 Missouri Ave, Fort Leonard Wood, MO, 65473-9098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316470982
Provider Name
Kelsey Lea Bean
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4430 Missouri Ave, Fort Leonard Wood, MO, 65473-9098
Phone Number
573-596-0417
Fax Number
Provider Enumeration Date
04/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4430 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-9098
Phone Number
573-596-0417
Fax Number
person
Provider Business Mailing Address Details
Address
4430 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-9098
Phone Number
573-596-0417
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
D0088220 (Maryland)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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