Individual
BENTON KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
Mailing address
219 BUTTERCUP RD, MOUNT VERNON, KY 40456-7479
(859) 979-0001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3010931
KY
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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