Individual
MRS. KIMBERLY KAY BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 WASHINGTON ST, GREAT BEND, KS 67530-2423
(620) 792-9157
Mailing address
1721 WASHINGTON ST, GREAT BEND, KS 67530-2423
(620) 792-9157
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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