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Individual

JOSHUA M BENGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2300 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017-1686
(859) 655-7040
(859) 331-2021
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 635-9440
(859) 448-2622

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41949
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3080946
OH
05
7100101940
KY
01
P00739058
RAILROAD MEDICARE
KY
01
P00847809
RAILROAD MEDICARE
KY
Enumeration date
06/20/2007
Last updated
04/12/2024
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