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Individual
MS. KATHLEEN R BECKMANN
Active
Individual
MS. KATHLEEN R BECKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
37696
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000219U
HUMANA
—
05
—
30080300
—
WI
Enumeration date
05/12/2006
Last updated
10/24/2012
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