Individual
KENNETH BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
(480) 974-1912
(480) 400-8763
Mailing address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
(480) 974-1912
(480) 400-8763
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
313965
AZ
Other
Enumeration date
09/10/2024
Last updated
02/04/2026
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