Kenneth Becker's National Provider Identifier (NPI) Details
Kenneth Becker, LADC
NPI: 1659673515
Enumeration Date: 2010-11-29
Last updated: 2021-09-22
Sole Proprietor: NO
Status: active
Postal Address: 4048 LAKELAND AVE N # 22031, MINNEAPOLIS, MN
Phone: 612-325-8357
Primary Practice Address: 4048 LAKELAND AVE N # 22031, MINNEAPOLIS, MN
Practice's phone: 612-325-8357