Benkner, Kimberly Kay

Benkner, Kimberly Kay is an individual health care provider with primary practice located at 44201 Dequindre Rd Ste Ec , Troy MI 48085-1117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Benkner, Kimberly Kay can be contacted via phone (248) 259-3088.

Contact Information

Primary practice address
44201 Dequindre Rd Ste Ec Troy MI 48085-1117
Fax: (248) 964-6133
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704386315 Michigan

Profile Details

NPI number 1104248129
LBN Legal business name Benkner, Kimberly Kay
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2014
Last updated Jul 27th, 2022 - about 3 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 1104248129 NPPES
Ohio MEDICAID 0111452

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