Individual
KATHERINE M BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-4186
(573) 860-6179
Mailing address
PO BOX 959318, SAINT LOUIS, MO 63195-9318
(573) 468-4186
(573) 860-6179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019039959
MO
Other
Enumeration date
10/07/2019
Last updated
01/07/2025
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