Kenneth D Beaty (NPI# 1255364782, PAC ID# 4880797059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1255364782 |
| PAC ID by PECOS | 4880797059 |
| Professional Enrollment ID | I20070307000655 |
| Full Name | Kenneth D Beaty |
| Address |
403 E University St Livingston TN 38570-1511 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440187 | LIVINGSTON REGIONAL HOSPITAL |
| 440059 | COOKEVILLE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 403 E University St, Livingston, TN 38570-1511 |
| Street Address |
403 E UNIVERSITY ST |
| City | LIVINGSTON |
| State | TN |
| Zip | 38570-1511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandy N Hayes | Nurse Practitioner | Livingston Family Healthcare LLC | 403 E University St, Livingston, TN 38570-1511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barton M Clements | General Surgery | 502 W Main St, Livingston, TN 38570-1718 | |
| Kelli W Carr | Nurse Practitioner | Amg-livingston LLC | 500 W Main St, Livingston, TN 38570-1718 |
| Timothy Klepper | General Surgery | 502 W Main St, Livingston, TN 38570-1718 | |
| Martha Jeanne Moore | Family Medicine | Amg-livingston LLC | 500 W Main St, Livingston, TN 38570-1718 |
| Courtney L Cummings | Internal Medicine | Amg-livingston LLC | 500 W Main St, Livingston, TN 38570-1718 |
| Lindsey B Myers | Family Medicine | Amg-livingston LLC | 500 W Main St, Livingston, TN 38570-1718 |
| Kurt Gilbert | Internal Medicine | Amg-livingston LLC | 500 W Main St, Livingston, TN 38570-1718 |
| Mark T Langenberg | Internal Medicine | Amg-livingston LLC | 500 W Main St, Livingston, TN 38570-1718 |
| Lindy Lee Lynn | Certified Nurse Midwife (cnm) | Amg-livingston LLC | 700 W Main St, Livingston, TN 38570-1720 |
| Christopher D Nahm | Obstetrics/gynecology | Amg-livingston LLC | 700 W Main St, Livingston, TN 38570-1720 |
| Find all physicians in zip 38570 | |||
| City | LIVINGSTON |
| Zip Code | 38570 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LIVINGSTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth D Beaty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.