Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Katherine Ann Beaudry, MD

Individual provider Dermatology Physician · NPI 1659667954

Dr. Katherine Ann Beaudry, MD is a Dermatology in Peoria, Illinois. Graduated from Pennsylvania State University College of Medicine in 2011, 15 years ago. Practices with Central Illinois Dermatology SC, a 5-clinician group. Licensed in Illinois.

Years since qualifying
15
Trained at
Pennsylvania State University College of Medicine
Licensed in
IL
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5401 N Knoxville Ave Ste 115
Peoria, IL 61614-5095
Phone: (309) 691-2903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036136919 (IL)

Record details

NPI number1659667954
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 24, 2011
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Central Illinois Dermatology Sc — 5 clinicians
Accepts Medicare assignment Not indicated

Other providers in Peoria