Individual
LETCHER CONLEY BECK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
HWY 160 MP 394.3, KAYENTA, AZ 86033-0368
(928) 697-4000
Mailing address
202 GOLF CART DR, MAYFIELD, KY 42066-1210
(270) 705-1891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1116855
KY
163WE0003X
Emergency Registered Nurse
1116855
KY
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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