Individual provider · Type 1 NPI

Kenneth Lee Beadle, DSC, PA-C

Physician Assistant · Hampton, VA

NPI number 1407844087 Active

Practice location

77 Nealy Ave
Hampton, VA 23665-2005

Call (757) 225-7630 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9108590 (FL)
Physician Assistant 363A00000X2024048128 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407844087

Kenneth Lee Beadle, DSC, PA-C's National Provider Identifier is 1407844087, issued on Oct 8, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hampton, VA. The record was last updated on Jun 12, 2026.