Individual
KYLE R BENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
315 H ST NE, WASHINGTON, DC 20002-5678
(202) 975-0100
Mailing address
877 W FARIS RD, GREENVILLE, SC 29605-4289
(864) 455-9022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DC2000012
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL51953
STATE MEDICAL BOARD
SC
Enumeration date
06/15/2018
Last updated
10/16/2021
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