Individual
KATHLEEN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
(301) 723-4070
Mailing address
PO BOX 1974, FREDERICK, MD 21702-0974
(866) 668-0313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C02597
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00296861
RAILROAD MEDICARE
MD
Enumeration date
09/27/2006
Last updated
01/07/2010
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