Individual
SANDRA JONES BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UKMC C225 UK GENERAL SURGERY, 800 ROSE STREET, LEXINGTON, KY 40536-0293
(859) 323-6346
(859) 323-6840
Mailing address
UKMC C225 UK GENERAL SURGERY, 800 ROSE STREET, LEXINGTON, KY 40536-0293
(859) 323-6346
(859) 323-6840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD067075L
PA
208C00000X
Colon & Rectal Surgery Physician
Primary
43511
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019061330001
—
PA
05
—
2005507000
—
WV
05
—
2335128
—
OH
Enumeration date
07/21/2005
Last updated
08/11/2010
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