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Contact Information

KEITH A BEAUCHAMP, DPM
106 BUTLER ST
SUITE A
MACON, MO63552-1629
 Phone: 660-385-4464
 Fax: 660-385-1449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KEITH A BEAUCHAMP · (Male)

NPI Number 1437150117
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/03/2005
Last updated 08/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 000737
  • MO Medicaid 308527605
  • MO Other 626227508 MEDICAID DME
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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