Individual
KATHLEEN BECKER
Active
Individual
KATHLEEN BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28190575A
IN
363LF0000X
Family Nurse Practitioner
Primary
CNP4020
MN
Other
Enumeration date
07/02/2014
Last updated
03/17/2018
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