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Individual

KRISTEN LYNN BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1410 E IRON AVE STE 5, SALINA, KS 67401-3285
(785) 825-7271
(785) 825-0957
Mailing address
915 S MAPLE ST, MCPHERSON, KS 67460-5616
(785) 226-4472

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2080
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14273829
CAQH PROVIDER ID
01
2080
KANSAS STATE BOARD OF EXAMINERS IN OPTOMETRY
KS
Enumeration date
06/13/2018
Last updated
06/13/2018
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