Individual
KATHRYN J. BECKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 RICHLAND MEDICAL PARK, COLUMBIA, SC 29203-8000
(803) 434-2797
(803) 434-7038
Mailing address
PO BOX 60314, CHARLOTTE, NC 28260-0314
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16621
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
16621
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166215
—
SC
Enumeration date
03/20/2006
Last updated
10/01/2007
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