Individual
KIMBERLY ANN MCBENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
Mailing address
20800 HARVARD RD, 2ND FLR, HIGHLAND HILLS, OH 44122-7202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-082661
OH
2080P0214X
Pediatric Pulmonology Physician
Primary
35-082661
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0454744
IMCA - MEDICAID GROUP #
OH
01
—
1821035940
AGMC (IMCA) MEDICARE TYPE 2 NPI #
OK
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
05
—
2579320
—
OH
01
—
3600271
IMCA - MEDICARE GROUP #
OH
Enumeration date
12/08/2005
Last updated
04/09/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us