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
Fax: (530) 275-2201
Website:

Health care specialties

SpecialtyCodeLicense #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 10 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 1447469085 NPPES
California MEDICAID 006799550

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