Individual
KENNETH ROBERT BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1747 PENNSYLVANIA AVE NW, WASHINGTON, DC 20006-4604
(202) 466-2050
Mailing address
3525 WHITE LN, SARASOTA, FL 34242-1055
(941) 807-4876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP764
DC
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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