Individual
KIMBERLY BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
663 PARK MEADOW RD STE A, WESTERVILLE, OH 43081-2880
(614) 656-4063
Mailing address
800 LONG ST APT 114, ASHVILLE, OH 43103-9314
(740) 649-5436
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
03/23/2021
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