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
Phone: (985) 370-7546
Fax: (985) 370-7765
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336474402 | NPPES |
| Louisiana | MEDICAID | 1807311 |
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