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Individual

KELLIE ANN BENWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2 W GREENOCK DR APT 2CC, TUCSON, AZ 85737-7629
(702) 334-4988
Mailing address
2 W GREENOCK DR APT 2CC, TUCSON, AZ 85737-7629
(702) 334-4988

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
209664
AZ

Other

Enumeration date
07/16/2025
Last updated
07/16/2025
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