Benson, Kimberly Christine

Benson, Kimberly Christine is an individual health care provider with primary practice located at 180 N 5Th St , Ponchatoula LA 70454-2532. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Benson, Kimberly Christine can be contacted via phone (985) 370-7546.

Contact Information

Primary practice address
180 N 5Th St Ponchatoula LA 70454-2532
Fax: (985) 370-7765
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.200302 Louisiana

Profile Details

NPI number 1336474402
LBN Legal business name Benson, Kimberly Christine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2009
Last updated Aug 28th, 2013 - about 13 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 1336474402 NPPES
Louisiana MEDICAID 1807311

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