Individual
KIMBERLY BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 PINE ST, RAPID CITY, SD 57701-1669
(605) 721-8939
Mailing address
350 PINE ST, RAPID CITY, SD 57701-1669
(605) 721-8939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP0007333
SD
Other
Enumeration date
08/07/2012
Last updated
05/17/2021
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