Individual
MRS. CHERYL L. BENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2853 CR 3900, INDEPENDENCE, KS 67301-7595
(620) 331-9070
(620) 331-9070
Mailing address
2853 CR 3900, INDEPENDENCE, KS 67301-7595
(620) 331-9070
(620) 331-9070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-44466-101
KS
251C00000X
Developmentally Disabled Services Day Training Agency
200713460A
KS
311ZA0620X
Adult Care Home Facility
200713460A
KS
3747P1801X
Personal Care Attendant
Primary
200713460A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200713460A
KANAS DEPARTMENT FOR AGING AND DISABILITY SERVICES
KS
Enumeration date
10/24/2013
Last updated
10/24/2013
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