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Individual

KRISTINA LYNN BENFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
14555 LEVAN RD, SUITE 113, LIVONIA, MI 48154-5083
(734) 655-8817
(734) 655-8820
Mailing address
14555 LEVAN RD, SUITE 310, LIVONIA, MI 48154-5083
(734) 655-2989
(734) 655-8590

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704251527
MI

Other

Enumeration date
04/25/2016
Last updated
11/10/2016
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