Individual
MRS. KELLI RAYNEL BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 3RD AVE SE, DICKINSON, ND 58601-5637
(701) 227-3010
(701) 225-1968
Mailing address
PO BOX 1057, DICKINSON, ND 58602-1057
(701) 227-3010
(701) 225-1968
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1022
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55208
—
ND
Enumeration date
10/13/2008
Last updated
10/13/2008
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