Benson, Kevin

Benson, Kevin is an individual health care provider with primary practice located at 3001 Jbs Pkwy , Odessa TX 79762-8126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Benson, Kevin can be contacted via phone (432) 640-6772.

Contact Information

Primary practice address
3001 Jbs Pkwy Odessa TX 79762-8126
Phone: (432) 640-6772
Fax: (432) 640-4708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Q5759 Texas

Profile Details

NPI number 1326061086
LBN Legal business name Benson, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326061086 NPPES
Texas MEDICAID 132606108601

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