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Kenneth Becker, ATC
NPI 1598185233 · on the registry since 2014 · sole proprietor
Practice
- Address
- 366 Gunfighter Ave Ste 498
Mountain Home Afb, ID 83648 - Phone
- (208) 724-4782
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho