Individual
BENJAMIN RICHARD KING
Active
Individual
BENJAMIN RICHARD KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01133
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07957866
—
NM
05
—
1588962419
—
UT
05
—
601683
—
AZ
05
—
82373370
—
CO
Enumeration date
03/01/2011
Last updated
10/10/2011
Update your record
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