Benner, Katelyn Irene

Benner, Katelyn Irene is an sole proprietor health care provider with primary practice located at 875 Perimeter Dr , Moscow ID 83844-9803. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Benner, Katelyn Irene can be contacted via phone (208) 885-2182.

Contact Information

Primary practice address
875 Perimeter Dr Moscow ID 83844-9803
Phone: (208) 885-2182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist 225500000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1952093353
LBN Legal business name Benner, Katelyn Irene
Credentials EMT-B
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2023
Last updated May 25th, 2023 - about 2 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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