Provider Demographics
NPI:1457107724
Name:BECKER, KATHERINE JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:JANE
Last Name:BECKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7617 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-2046
Mailing Address - Country:US
Mailing Address - Phone:540-220-8196
Mailing Address - Fax:
Practice Address - Street 1:7617 RIVER RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-2046
Practice Address - Country:US
Practice Address - Phone:540-220-8196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-27
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program