Individual
KATHY G. BECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
128 E COMMERCIAL ST, LEBANON, MO 65536-3257
(573) 302-3990
(573) 302-2753
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8399
(573) 348-8309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2000174330
MO
Other
Enumeration date
08/30/2006
Last updated
03/24/2022
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