Provider Demographics
NPI:1376022608
Name:BEAMAN, KATHERINE A (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:A
Last Name:BEAMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:A
Other - Last Name:LUCHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4613 WESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-1815
Mailing Address - Country:US
Mailing Address - Phone:919-851-1010
Mailing Address - Fax:919-859-4254
Practice Address - Street 1:4613 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-1815
Practice Address - Country:US
Practice Address - Phone:919-851-1010
Practice Address - Fax:919-859-4254
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4949111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor