Dibenedetto, Keith

Dibenedetto, Keith is an individual health care provider with primary practice located at 2617 Stockton Rd , Phoenix MD 21131-1117. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Dibenedetto, Keith can be contacted via phone (561) 632-9839.

Contact Information

Primary practice address
2617 Stockton Rd Phoenix MD 21131-1117
Phone: (561) 632-9839
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R210044 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R210044 Maryland

Profile Details

NPI number 1699259580
LBN Legal business name Dibenedetto, Keith
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Sep 18th, 2018 - about 6 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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