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Individual

KATHLEEN MARTIN BECKUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 801-8000
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

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
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