Individual
DR. KENNETH ALAN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 N BELCHER RD STE B, CLEARWATER, FL 33765-1452
(727) 935-0503
(727) 935-0504
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
(410) 873-8500
(410) 883-0876
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2006-01915
NC
207N00000X
Dermatology Physician
MD10937
RI
207N00000X
Dermatology Physician
Primary
ME164038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000026434
BLUE CROSS BLUE SHIELD RI
RI
01
—
03-00628
UNITED HEALTHCARE
RI
01
—
109370
TUFTS
RI
01
—
409753
BCBSRI-BLUECHIP
RI
Enumeration date
06/08/2006
Last updated
03/31/2026
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