Kinney, Benton Clay
Kinney, Benton Clay is an sole proprietor health care provider with primary practice located at 2865 Churn Creek Rd Suite A, Redding CA 96002-1117. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kinney, Benton Clay can be contacted via phone (530) 646-7269.Contact Information
Primary practice address
2865 Churn Creek Rd Suite A
Redding CA 96002-1117
Phone: (530) 646-7269
Fax: (530) 275-2201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA16208 | California |
Profile Details
| NPI number | 1447469085 |
|---|---|
| LBN Legal business name | Kinney, Benton Clay |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Nov 26th, 2014 - about 11 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 | 1447469085 | NPPES |
| California | MEDICAID | 006799550 |
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