Individual
MARILEE BENSON
Active
Individual
MARILEE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
24378
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000545160
ANTHEM FOR KCR
KY
01
—
000023029O
HUMANA - KCR
KY
05
—
200221540
—
IN
05
—
64243785
—
KY
Enumeration date
10/10/2006
Last updated
10/29/2019
Update your record
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