Individual
KIMBERLY MENIQUE BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
212 KROGER WAY, VERSAILLES, KY 40383-1991
(859) 297-1072
(859) 297-1073
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1112837
KY
363LF0000X
Family Nurse Practitioner
Primary
3019026
KY
Other
Enumeration date
02/14/2023
Last updated
04/25/2025
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