Individual
KEVIN BENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 EAST AVE, LOCKPORT, NY 14094-3201
(716) 514-5660
Mailing address
6075 2ND ST, NEWFANE, NY 14108-1202
(716) 425-7770
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
013660
NY
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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