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Individual
MS. KIM A BENSON
Active
Individual
MS. KIM A BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT001039L
PA
237600000X
Audiologist-Hearing Aid Fitter
AT001039L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007412000003
—
PA
01
—
2736797
AETNA HMO PA
PA
01
—
3531596
AETNA HMO NJ
PA
01
—
4899809
GHI
PA
01
—
7263015
AETNA TRADITIONAL NJ & PA
PA
01
—
814334
FIRST PRIORITY
PA
01
—
98857
LOCAL 825
PA
01
—
BE1375023
BLUE CROSS BLUE SHEILD
PA
Enumeration date
07/03/2007
Last updated
04/15/2008
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