Individual
DR. KURT T BENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 MARTIN ST, WELLSVILLE, NY 14895-1057
(585) 593-6041
(585) 593-4919
Mailing address
12 MARTIN ST, WELLSVILLE, NY 14895-1057
(585) 593-6041
(585) 593-4919
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
228407
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02409263
—
NY
Enumeration date
08/23/2006
Last updated
09/15/2010
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