Individual
JONATHAN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
771 CORPORATE DR, SUITE 610, LEXINGTON, KY 40503-5405
(859) 410-8550
(859) 223-0642
Mailing address
PO BOX 910544, LEXINGTON, KY 40591-0544
(859) 410-8550
(859) 223-0642
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
01/24/2013
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