Benjamin, Kenneth James

Benjamin, Kenneth James is an individual health care provider with primary practice located at 198 Thomas Johnson Dr Ste 4, Frederick MD 21702-4398. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Benjamin, Kenneth James can be contacted via phone (301) 695-9669.

Contact Information

Primary practice address
198 Thomas Johnson Dr Ste 4 Frederick MD 21702-4398
Phone: (301) 695-9669
Fax: (301) 695-0346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00592 Maryland

Profile Details

NPI number 1932104007
LBN Legal business name Benjamin, Kenneth James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 8th, 2007 - about 17 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 1932104007 NPPES
Maryland Other 998448 AETNA HEALTHCARE
Maryland Other K374 AETNA HEALTHCARE
Maryland Other 4081479 AETNA HEALTHCARE
Maryland Other 9502 AETNA HEALTHCARE
Maryland Other 385141 AETNA HEALTHCARE

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