Healthcare Provider Details

I. General information

NPI: 1851356042
Provider Name (Legal Business Name): LARRY K. BECK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 05/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 S. SANTE FE
SALINA KS
67401
US

IV. Provider business mailing address

511 S SANTA FE AVE
SALINA KS
67401-4145
US

V. Phone/Fax

Practice location:
  • Phone: 785-452-4860
  • Fax: 785-452-4878
Mailing address:
  • Phone: 785-452-7269
  • Fax: 785-452-6008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number04-27369
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: