Individual
DR. JOHN B BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 KRESGE WAY STE 308, LOUISVILLE, KY 40207-4637
(502) 895-8911
(502) 895-8977
Mailing address
PO BOX 9203, BELFAST, ME 04915-9203
(502) 895-9627
(502) 895-8977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41725
KY
208M00000X
Hospitalist Physician
Primary
41725
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000300382
ANTHEM PROV#
IN
01
—
000000548736
ANTHEM
KY
01
—
000063095G
HUMANA
KY
05
—
200448900
—
IN
01
—
352154103
UNITED HEALTHCARE PROV
—
05
—
64117005
—
KY
01
—
P00049026
RAILROAD MEDICARE PROV#
IN
Enumeration date
08/22/2005
Last updated
07/21/2022
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