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Individual
KIMBERLY BENKO
Active
Individual
KIMBERLY BENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209005731
IL
363LF0000X
Family Nurse Practitioner
Primary
824389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T04Z
GROUP NUMBER
TX
01
—
1235135906
GROUP NPI
TX
Enumeration date
07/26/2006
Last updated
03/28/2022
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