Healthcare Provider Details

I. General information

NPI: 1255538393
Provider Name (Legal Business Name): WENDOLYN BEA BECKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WENDOLYN BEA ALTMAN

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 CLAY EDWARDS DR STE 240
NORTH KANSAS CITY MO
64116-3254
US

IV. Provider business mailing address

2700 CLAY EDWARDS DR STE 240
NORTH KANSAS CITY MO
64116-3254
US

V. Phone/Fax

Practice location:
  • Phone: 816-691-2021
  • Fax: 816-346-7690
Mailing address:
  • Phone: 816-691-2021
  • Fax: 816-346-7690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2007018742
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number2011006586
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2011006586
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: