Search › Minnesota › 101YP2500X
Kenneth Becker, LADC
NPI 1659673515 · on the registry since 2010
Practice
- Address
- 4048 Lakeland Ave N # 22031
Minneapolis, MN 55422 - Phone
- (612) 325-8357
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-22
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 Minnesota