Individual
KIMBERLY BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 LIGHTHOUSE DR STE 110, BARNEGAT, NJ 08005-2499
(609) 891-2781
Mailing address
41 15TH ST, TOMS RIVER, NJ 08753-2429
(732) 598-2893
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ15390200
NJ
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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