| Doctor Name: | MR. KEVIN S. BEASLEY |
| NPI Number: | 1649293002 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCSW3305 |
| Business Practice Address: | Psc 37 Box 2674 Apo Ae, UNITED KINGDOM - 09459 |
| Business Phone Number: | 01144 |
| Business Fax Number: | 528070 |
| Mailing Address: | 17 Broom Rd, LAKENHEATH |
| State: | UNITED KINGDOM |
| Postal Code: | IP279ES |
| Phone Number: | 011441638 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW3305 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |