Individual
KIP R BENKO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-8222
Mailing address
DEPT 641221, PITTSBURGH, PA 15264-1221
(412) 485-5245
(412) 485-5250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD045710L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014010040001
—
PA
Enumeration date
09/22/2005
Last updated
07/08/2007
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