Individual
BECKI M. GOLDBERG-KAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
933 EAST PIERCE ST., COUNCIL BLUFFS, IA 51503
(712) 396-6311
(712) 396-4389
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
20308
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
30292
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026527501
—
NE
05
—
1124101902
—
IA
Enumeration date
10/23/2006
Last updated
01/02/2020
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