Kimberly Benko, CNP
Nurse Practitioner, Family in Southlake, TX. Individual provider (NPI-1).
NPI number1720002637
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1720002637
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Benko
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2006
- Certification date
- Mar 28, 2022
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 824389 | TX | Yes |
| 363L00000X | Nurse Practitioner | 209005731 | IL |
Practice location
731 E Southlake Blvd100
Southlake, TX 76092-6377
Phone 817-424-3366 · Fax 817-424-3426
Mailing address
731 E Southlake Blvd100
Southlake, TX 76092-6377
Phone 817-424-3366 · Fax 817-424-3426
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