Individual provider · NPI-1

Kevin D Benson, MD

Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery · Sioux Falls, SD

NPI number1649259227
StatusActive
Last updated in NPPESDec 12, 2019

Details

NPI
1649259227
Entity type
Individual (NPI-1)
Name
Kevin D Benson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 12, 2006
Certification date
Dec 12, 2019
Last updated
Dec 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery4585SDYes
207V00000X Obstetrics & Gynecology4585SD

Practice location

1500 W 22nd St
Ste 402
Sioux Falls, SD 57105-7702

Phone 605-328-8750 · Fax 605-328-8751

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

Phone 605-328-6585 · Fax 605-328-6512

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