Individual
KATHY TINES BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, BEAUFORT, SC 29902-6148
(843) 228-5200
(843) 228-5300
Mailing address
2005 KNIGHT LANE ATTN: MEDICAL STAFF SERVICES, BLDG H, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212-0140
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1050175
KY
Other
Enumeration date
01/31/2006
Last updated
02/08/2010
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