KINLEY DANAE BECK


Address: 155 Borthwick Ave Ste 200e, Portsmouth, NH 03801-4184
Phone: 6034361773

KINLEY DANAE BECK (NPI# 1770840365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770840365
Entity Type Individual
Full Name KINLEY DANAE BECK
Credential M.D.
Practice Address 155 Borthwick Ave Ste 200e
Portsmouth
NH 03801-4184
Practice Telephone 6034361773
Practice Fax Number 6034270655
Mailing Telephone 6034361773
Mailing Fax Number 6034270655
Enumeration Date 2012-04-19
Last Update Date 2020-05-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology R4518 TX Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology 24382 MS Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology E9764 AR Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology 54082 TN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program BP10047004 TX Student, Health Care
N 207WX0107X Ophthalmology
Specialization: Retina Specialist
19236 NH Allopathic & Osteopathic Physicians
N 207WX0107X Ophthalmology
Specialization: Retina Specialist
E9764 AR Allopathic & Osteopathic Physicians
N 207WX0107X Ophthalmology
Specialization: Retina Specialist
24382 MS Allopathic & Osteopathic Physicians
Y 207WX0107X Ophthalmology
Specialization: Retina Specialist
54082 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NH 3118506 05
TX 376236101 05
TX CSHCN 376236102 01
TN Q022120 05
AR 214078001 05
MS 07208203 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
825 Ridge Lake Blvd, Memphis, TN 381209411 9016852200 9018202342
8300 Floyd Curl Dr Fl 6, San Antonio, TX 782293931 2104509400

Office Location

Street Address 155 BORTHWICK AVE STE 200E
City PORTSMOUTH
State NH
Zip Code 03801-4184

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841720109 Hilary A Hamer Optometrist 155 Borthwick Ave Ste 200e, Portsmouth, NH 03801-4184 2017-06-19
1083066005 Renee Theroux Lynch Optometrist 155 Borthwick Ave Ste 200e, Portsmouth, NH 03801-4184 2016-07-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407470305 Nisha Vanmali Student in an Organized Health Care Education/Training Program 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 2020-06-05
1528687456 Raji Shaher Student in an Organized Health Care Education/Training Program Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 2020-04-10
1790262988 Naturae, LLC Naturopath 501 Islington St., Ste 2b, Portsmouth, NH 03801 2018-07-20
1053854224 Dewey Theodore Kahn II Specialist 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 2016-11-21
1609322635 Cvs Pharmacy Pharmacist 674 Islington Street, Portsmouth, NH 03801 2016-08-30
1164978375 Maureen Mcpadden Pharmacist 117 Bow St Unit 114, Portsmouth, NH 03801 2016-08-28
1679922579 Portsmouth Eye Pllc Optometrist 38 Daniel St., Portsmouth, NH 03801 2016-06-10
1659734127 Sarah Jean Trafton Nurse Practitioner 79 Wibird St Apt #1, Portsmouth, NH 03801 2016-04-01
1184095002 Holding Hope Healing Services, LLC. Social Worker 104 Congress St., Suite 303, Portsmouth, NH 03801 2015-10-19
1093185415 Johanna Miriam Simmerman Mauss Naturopath 501 Islington Street, Suite 2b, Portsmouth, NH 03801 2015-09-28
Find all providers in zip 03801

Taxonomy Information

Taxonomy Code 207WX0107X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Retina Specialist

Taxonomy Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new]
- Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356769731 Evan M Berger Ophthalmology 3235 Academy Ave Ste 200, Portsmouth, VA 23703-3200 2014-04-02
1265691141 Kori A Elkins Ophthalmology 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 2008-06-05

Competitor

Search similar providers

City PORTSMOUTH
Zip Code 03801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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