Kenneth Preston Benton, RN, CEN
Registered Nurse, Emergency in Gallup, NM. Individual provider (NPI-1).
NPI number1851828362
StatusActive
Last updated in NPPESMay 15, 2017
Details
- NPI
- 1851828362
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Preston Benton
- Credential
- RN, CEN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2017
- Last updated
- May 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WE0003X | Registered Nurse, Emergency | 810545 | TX | Yes |
Practice location
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 619-633-9433
Mailing address
516 E Nizhoni BlvdGallup, NM 87301-5748
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