Beckner, Carly R.

Beckner, Carly R. is an individual health care provider with primary practice located at 1225 Fairway St , Bowling Green KY 42103-2477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Beckner, Carly R. can be contacted via phone (270) 781-3910.

Contact Information

Primary practice address
1225 Fairway St Bowling Green KY 42103-2477
Phone: (270) 781-3910
Fax: (270) 842-7177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1586 Kentucky

Profile Details

NPI number 1194028894
LBN Legal business name Beckner, Carly R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2010
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194028894 NPPES
Kentucky MEDICAID 7100200050

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