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Individual

HOLLY BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2330 CONCRETE RD, CARLISLE, KY 40311-9700
(859) 405-4025
(859) 517-3014
Mailing address
209 N MAYSVILLE ST STE 200, MOUNT STERLING, KY 40353-1179
(859) 404-7686
(859) 498-8160

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009400
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3009400
APRN LICENSE
KY
05
7100354590
KY
01
K141040
MEDICARE NUMBER (CYNTHIANA)
01
K141041
MEDICARE NUMBER (CARLISLE)
Enumeration date
05/25/2015
Last updated
07/21/2022
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