Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH BECKER, ATC
Active Sole ProprietorMR. KENNETH BECKER, ATC is a Athletic Trainer healthcare provider located in MOUNTAIN HOME AFB, Idaho. NPI 1598185233 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MOUNTAIN HOME AFB, ID
Registration Details
- NPI Number
- 1598185233
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2014 (12.276675657921 yrs)
- Last Updated
- Aug 23, 2021
- License
-
AT-394 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
366 GUNFIGHTER AVE STE 498MOUNTAIN HOME AFB, ID, 836485258Browse ID providers · Browse ZIP 83648
- Phone
- 2087244782
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.