Individual
KENNETH BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4066
(315) 782-2620
(315) 788-4980
Mailing address
1116 ARSENAL ST, SUITE 504, WATERTOWN, NY 13601-2229
(315) 782-2620
(315) 788-4980
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
000218-1
NY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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