Individual
KIMBERLY BENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4190 LOBERG AVE, DULUTH, MN 55811
(218) 249-5700
(218) 249-4666
Mailing address
4190 LOBERG AVE, DULUTH, MN 55811-2652
(218) 249-5700
(218) 249-4666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6421
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R39513
LICENSE
ND
Enumeration date
08/22/2013
Last updated
01/19/2021
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