Benigno, Kimberly R

Benigno, Kimberly R is an individual health care provider with primary practice located at 1720A Medical Park Dr Suite 330, Biloxi MS 39532-2129. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Benigno, Kimberly R can be contacted via phone (228) 396-5185.

Contact Information

Primary practice address
1720A Medical Park Dr Suite 330 Biloxi MS 39532-2129
Phone: (228) 396-5185
Fax: (228) 396-5186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 622 Mississippi

Profile Details

NPI number 1558395806
LBN Legal business name Benigno, Kimberly R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 18 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 1558395806 NPPES
Mississippi MEDICAID 0880093
Mississippi Other 94170

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