NPI 1770840365 · live from the CMS NPI Registry
Kinley Danae Beck, M.D.
Ophthalmology, Retina Specialist in Portsmouth, NH. National Provider Identifier 1770840365, active.
NPI record
| NPI | 1770840365 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Retina Specialist 207WX0107X |
| Practice location | 155 Borthwick Ave Ste 200e, Portsmouth, NH 03801 |
| Practice phone | 603-436-1773 |
| Enumerated | April 19, 2012 |
| Last updated | May 11, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | R4518 (TX) |
| Ophthalmology | 207W00000X | 24382 (MS) |
| Ophthalmology | 207W00000X | E9764 (AR) |
| Ophthalmology | 207W00000X | 54082 (TN) |
| Ophthalmology, Retina Specialist | 207WX0107X | E9764 (AR) |
| Ophthalmology, Retina Specialist | 207WX0107X | 24382 (MS) |
| Ophthalmology, Retina Specialist | 207WX0107X | 19236 (NH) |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10047004 (TX) |
| Ophthalmology, Retina Specialist primary | 207WX0107X | 54082 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.