Kimberly Benton, CNA
In Home Supportive Care in Ruston, LA. Individual provider (NPI-1).
NPI number1053282756
StatusActive
Last updated in NPPESSep 16, 2025
Details
- NPI
- 1053282756
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Benton
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2025
- Certification date
- Sep 15, 2025
- Last updated
- Sep 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
136 Twin Oaks LnRuston, LA 71270-7110
Phone 318-243-5802
Mailing address
136 Twin Oaks LnRuston, LA 71270-7110
Phone 318-243-5802
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