Kimberli Lanelle Bean
Individual provider Active NPI Case Manager/Care Coordinator · Medford, OR
NPI 1508313586 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1508313586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 140 South Holly Street
Medford, OR 97501 - Phone
- (541) 774-8201
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
140 South Holly Street
Medford, OR 97501
Mailing address
2 Hamilton Street
Medford, OR 97501
Phone (541) 690-7475
Other names
- Mrs. Kimberli Lanelle Shannon
Other providers in Medford, OR
- Jody Beach
- Rylie N. Beach
- Crystal Ann Beachler
- Zach Beacom
- Dana Bean
- Bear Creek Naturopathich Clinic
- Andrea N Bearden
- Crystal Beardsley
- Jennifer Lynn Beaver
- Jonathan Sterling Beck
All providers in Medford, OR · Case Manager/Care Coordinator in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.