Individual
DR. KENNETH JAMES BENJAMIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
198 THOMAS JOHNSON DR, STE 4, FREDERICK, MD 21702-4398
(301) 695-9669
(301) 695-0346
Mailing address
198 THOMAS JOHNSON DR, STE 4, FREDERICK, MD 21702-4398
(301) 695-9669
(301) 695-0346
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00592
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
385141
UNITED HEALTHCARE
MD
01
—
4081479
AETNA HEALTHCARE
MD
01
—
9502
BLUE CROSS BLUE CHOICE
DC
01
—
998448
AETNA HEALTHCARE
MD
01
—
K374
BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/16/2005
Last updated
07/08/2007
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