Individual
DR. JENNIFER L BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 WIND HAVEN DR STE 104, NICHOLASVILLE, KY 40356-8036
(314) 888-5233
(318) 232-5983
Mailing address
101 WIND HAVEN DR STE 104, NICHOLASVILLE, KY 40356-8036
(314) 888-5233
(318) 232-5983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40245
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100019190
—
KY
Enumeration date
07/13/2007
Last updated
01/18/2023
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