Individual
EMILY KATHLEEN BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2355 POPLAR LEVEL RD, SUITE 200, LOUISVILLE, KY 40217-1395
(502) 696-7444
(502) 636-7340
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009734
KY
363LF0000X
Family Nurse Practitioner
3009734
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001006310
ANTHEM
KY
01
—
50103452
PASSPORT
KY
05
—
7100391390
—
KY
Enumeration date
12/16/2015
Last updated
03/23/2021
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