Benjamin, Kristen Heather

Benjamin, Kristen Heather is an individual health care provider with primary practice located at 1120 15Th Street , Augusta GA 30912-0004. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Benjamin, Kristen Heather can be contacted via phone (706) 721-8623.

Contact Information

Primary practice address
1120 15Th Street Augusta GA 30912-0004
Phone: (706) 721-8623
Fax: (706) 721-1459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN167843 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN167843 Georgia

Profile Details

NPI number 1205022001
LBN Legal business name Benjamin, Kristen Heather
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2007
Last updated Apr 29th, 2024 - about 8 months 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 1205022001 NPPES
South Carolina MEDICAID NP1454

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