Provider Demographics
NPI:1811334832
Name:BEATTY, KARA KEUTHAN (MD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:KEUTHAN
Last Name:BEATTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 HUGUENOT RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2426
Mailing Address - Country:US
Mailing Address - Phone:804-415-4113
Mailing Address - Fax:804-414-7180
Practice Address - Street 1:1525 HUGUENOT RD STE 201
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113
Practice Address - Country:US
Practice Address - Phone:804-415-4113
Practice Address - Fax:804-414-7180
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA18113348322084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry