Provider Demographics
NPI:1215365499
Name:BEARD, JOHANNES KEPLER (RN)
Entity Type:Individual
Prefix:MR
First Name:JOHANNES
Middle Name:KEPLER
Last Name:BEARD
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Gender:M
Credentials:RN
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Mailing Address - Street 1:1 BALTIMORE PLACE
Mailing Address - Street 2:BALTIMORE BUILDING SUITE 100
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2232
Mailing Address - Country:US
Mailing Address - Phone:404-815-0348
Mailing Address - Fax:404-249-0472
Practice Address - Street 1:550 PEACHTREE ST.
Practice Address - Street 2:SELECT SPECIALTY HOSPITAL
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2232
Practice Address - Country:US
Practice Address - Phone:404-686-2270
Practice Address - Fax:404-686-4518
Is Sole Proprietor?:No
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN105912163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care