Individual
EMILY JEAN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O,D.
Contact information
Practice address
1202 W MAPLE ST, WICHITA, KS 67213-3916
(316) 262-3716
(316) 262-0784
Mailing address
1202 W MAPLE ST, WICHITA, KS 67213-3916
(316) 262-3716
(316) 262-0784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1864
KS
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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