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Individual
DR. JOHN B BENTON
Active
Individual
DR. JOHN B BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41725
KY
208M00000X
Hospitalist Physician
Primary
41725
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000300382
ANTHEM PROV#
IN
01
—
000000548736
ANTHEM
KY
01
—
000063095G
HUMANA
KY
05
—
200448900
—
IN
01
—
352154103
UNITED HEALTHCARE PROV
—
05
—
64117005
—
KY
01
—
P00049026
RAILROAD MEDICARE PROV#
IN
Enumeration date
08/22/2005
Last updated
07/21/2022
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