Individual
KENNETH A BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 ALKYRE RUN, SUITE 100, WESTERVILLE, OH 43082-6909
(614) 890-5692
(614) 890-5629
Mailing address
450 ALKYRE RUN, SUITE 100, WESTERVILLE, OH 43082-6909
(614) 890-5692
(614) 890-5629
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35064674
OH
207W00000X
Ophthalmology Physician
Primary
35064674B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459212
—
OH
Enumeration date
04/25/2006
Last updated
08/17/2015
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