Individual
MRS. KIA CHANNER BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
1 MEADOWBROOK RD, LITTLETON, CO 80120-4154
(303) 941-7706
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
97241
CO
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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