Individual
KENNETH H. BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23572
SC
208M00000X
Hospitalist Physician
23572
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235720
—
SC
Enumeration date
08/23/2006
Last updated
10/31/2022
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