Provider Demographics
NPI:1508650615
Name:BEEKER, KAMIE LYNN
Entity type:Individual
Prefix:
First Name:KAMIE
Middle Name:LYNN
Last Name:BEEKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2259 NAPOLEON RD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-2641
Mailing Address - Country:US
Mailing Address - Phone:419-208-8828
Mailing Address - Fax:
Practice Address - Street 1:2259 NAPOLEON RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-2641
Practice Address - Country:US
Practice Address - Phone:419-208-8828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty