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:
Health care specialties
Specialty | Code | License # | 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 18 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 | 1144349408 | NPPES |
Maryland | Other | 315758 | AMERIGROUP |
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