Individual
DR. KRISTY ANNE BECKHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1215 E MICHIGAN AVE 7TH FL TOWER WEST, LANSING, MI 48912
(517) 364-3380
(517) 364-3399
Mailing address
1215 E. MICHIGAN AVE 7TH FL TOWER WEST, LANSING, MI 48912
(517) 364-3380
(517) 364-3399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101018602
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
5101018602
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235441528
—
MI
01
—
5330585
BCBS PIN
MI
Enumeration date
07/02/2010
Last updated
09/07/2016
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