| Doctor Name: | KEREN JANE BECKER |
| NPI Number: | 1003815846 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 4448 |
| Business Practice Address: | 12905 Rosedale Hill Ave Huntersville, NC - 280783341 |
| Business Phone Number: | 7048011000 |
| Business Fax Number: | 7048962861 |
| Mailing Address: | Po Box 601067, CHARLOTTE |
| State: | NC |
| Postal Code: | 282601067 |
| Phone Number: | 7048011000 |
| Fax Number: | 7048962861 |
| NPI Enumeration Date: | 07/14/2005 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 4448 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |