Mcbennett, Kimberly Ann

Mcbennett, Kimberly Ann is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Mcbennett, Kimberly Ann can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-082661 Ohio
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 35-082661 Ohio

Profile Details

NPI number 1144205592
LBN Legal business name Mcbennett, Kimberly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Apr 9th, 2015 - about 9 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 1144205592 NPPES
Ohio Other 0454744 IMCA - MEDICAID GROUP #
Ohio MEDICAID 2579320 IMCA - MEDICAID GROUP #
Ohio Other 1821035940 IMCA - MEDICAID GROUP #
Ohio Other 3600271 IMCA - MEDICAID GROUP #
Ohio Other 1841239274 IMCA - MEDICAID GROUP #

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