OIG exclusion detail
KENNETH BEAL
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 1649463977
- Name
- KENNETH C JR BEAL
- Address
- 305 CENTER STREET, ITTA BENA, MS, 38941
- Specialty
- DENTIST
- Exclusion type
- 1128a1
- Exclusion date
- 20161120
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
Open matching NPI page