Individual
KENNETH J BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5864 CAMP RD, HAMBURG, NY 14075-4424
(716) 649-6944
(716) 649-6407
Mailing address
5864 CAMP RD, HAMBURG, NY 14075-4424
(716) 649-6944
(716) 649-6407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007389-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020332101
UNIVERA
NY
01
—
002231421
BLUE CROSS
NY
01
—
161452055-01
PRISM HEALTH NETWORK
NY
01
—
5802463
GHI
NY
01
—
668940
ACN
NY
01
—
929795
MPN
NY
Enumeration date
03/19/2007
Last updated
12/29/2011
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