Benton-Klein, Kelly Samantha

Benton-Klein, Kelly Samantha is an individual health care provider with primary practice located at 7225 Hanover Pkwy Bldg. 7 A-B, Greenbelt MD 20770-2024. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Benton-Klein, Kelly Samantha can be contacted via phone (301) 585-2977.

Contact Information

Primary practice address
7225 Hanover Pkwy Bldg. 7 A-B Greenbelt MD 20770-2024
Phone: (301) 585-2977
Fax: (301) 474-1828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 04240 Maryland
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 04240 Maryland

Profile Details

NPI number 1144349408
LBN Legal business name Benton-Klein, Kelly Samantha
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 17 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 1144349408 NPPES
Maryland Other 315758 AMERIGROUP

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