Provider Demographics
NPI:1487359204
Name:BEIL, KAILYN
Entity type:Individual
Prefix:
First Name:KAILYN
Middle Name:
Last Name:BEIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 STATESMAN RD
Mailing Address - Street 2:
Mailing Address - City:WEST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-5149
Mailing Address - Country:US
Mailing Address - Phone:484-788-8647
Mailing Address - Fax:
Practice Address - Street 1:800 BETHLEHEM PIKE STE 2
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-1610
Practice Address - Country:US
Practice Address - Phone:215-257-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC019061225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist