Individual
NIKKI B BENVENUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2050 KENNEY ROAD, SUITE 3300, COLUMBUS, OH 43221
(614) 293-2663
(614) 293-2053
Mailing address
660 ACKERMAN RD, PO BOX 183103, COLUMBUS, OH 43202-4500
(614) 293-2663
(614) 293-2053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001547
OH
Other
Enumeration date
04/07/2006
Last updated
03/03/2009
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