Individual
KACIE BENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1814 24TH ST NE APT 103, WASHINGTON, DC 20002-1935
(202) 277-1673
Mailing address
1835 24TH ST NE APT 203, WASHINGTON, DC 20002-1926
(202) 277-1673
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
DC
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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