Individual
ANDREA ELAINE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5183 HINKLEVILLE RD, PADUCAH, KY 42001-9667
(275) 415-9006
Mailing address
3165 HULBERT AVE, ERLANGER, KY 41018-1333
(859) 396-5750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10753
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2022
Last updated
05/17/2022
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