Kimberly Kay Benkner, PNP
Nurse Practitioner, Pediatrics in Troy, MI. Individual provider (NPI-1).
NPI number1104248129
StatusActive
Last updated in NPPESJul 27, 2022
Details
- NPI
- 1104248129
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Kay Benkner
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2014
- Certification date
- Jul 27, 2022
- Last updated
- Jul 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 4704386315 | MI | Yes |
Practice location
44201 Dequindre Rd Ste EcTroy, MI 48085-1117
Phone 248-259-3088 · Fax 248-964-6133
Mailing address
26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone 947-522-1865 · Fax 947-522-0307
Other practice locations
44199 Dequindre Rd Ste 502
Troy, MI 48085-1128
Troy, MI 48085-1128
Phone 248-964-5880 · Fax 248-964-5068
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