Individual
KELLY BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 OTTERDALE RD, MIDLOTHIAN, VA 23114-6901
(804) 904-9057
(804) 843-8602
Mailing address
1024 OTTERDALE RD, MIDLOTHIAN, VA 23114-6901
(804) 904-9057
(804) 843-8602
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024189144
VA
Other
Enumeration date
10/25/2023
Last updated
07/25/2025
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