Individual
WENDOLYN BEA BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2007018742
MO
207L00000X
Anesthesiology Physician
Primary
2011006586
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
2011006586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255538393
—
MO
05
—
200727600A
—
KS
01
—
P00964001
RR MEDICARE
MO
Enumeration date
07/02/2007
Last updated
04/05/2022
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