Individual
KATHERINE ELIZABETH BEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
139 LILA DOYLE DR, SENECA, SC 29672
(864) 482-3483
(864) 482-3497
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29823
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235322736
—
MO
05
—
298234
—
SC
01
—
431560263
TRICARE WEST
—
01
—
P00852008
RAILROAD MEDICARE GROUP #CB9013
—
01
—
P01192732
RR MEDICARE
SC
Enumeration date
08/20/2007
Last updated
05/10/2021
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