Provider Demographics
NPI:1104229798
Name:BEADNER, KARI MICHELLE (CFCP)
Entity type:Individual
Prefix:MRS
First Name:KARI
Middle Name:MICHELLE
Last Name:BEADNER
Suffix:
Gender:F
Credentials:CFCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 ALBANY AVE SE
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-1731
Mailing Address - Country:US
Mailing Address - Phone:712-266-3282
Mailing Address - Fax:
Practice Address - Street 1:211 ALBANY AVE SE
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1731
Practice Address - Country:US
Practice Address - Phone:712-266-3282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator