Individual
KATHLEEN MARTIN BECKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2007018072
MO
207N00000X
Dermatology Physician
Primary
29214
AL
207ND0900X
Dermatopathology Physician
29214
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051118019
BCBS
AL
01
—
051118020
BCBS
AL
01
—
051118021
BCBS
AL
01
—
051118022
BCBS
AL
01
—
051118023
BCBS
AL
05
—
09634291
—
MS
05
—
129265
—
AL
05
—
129275
—
AL
05
—
129278
—
AL
05
—
129282
—
AL
05
—
129283
—
AL
Enumeration date
07/02/2007
Last updated
05/05/2014
Update your record
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