Individual
KELSEY LEE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(530) 263-7334
Mailing address
1103 S PINECREST DR, BOZEMAN, MT 59715-5940
(530) 263-7334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-160415
MT
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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