Healthcare Provider Details

I. General information

NPI: 1265657654
Provider Name (Legal Business Name): KATHLEEN LOUISE BECK RNCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE PERKINS SQUARE
AKRON OH
44308
US

IV. Provider business mailing address

781 HAVENWOOD DR
AKRON OH
44319-4238
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-8352
  • Fax: 330-543-3891
Mailing address:
  • Phone: 330-882-6855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberRN220261
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: