Individual
BRIAN RICARDO BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
521 LANCASTER AVE, RICHMOND, KY 40475-3102
(954) 376-2468
(859) 622-8857
Mailing address
521 LANCASTER AVE, RICHMOND, KY 40475-3102
(954) 376-2468
(859) 622-8857
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1673
KY
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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