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Individual

JEFFREY SCOTT BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2400 RUSSELLVILLE RD, HOPKINSVILLE, KY 42240-8095
(270) 887-5697
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
07/28/2023
Last updated
07/28/2023
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Product
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