NPI 1104248129 · live from the CMS NPI Registry
Kimberly Kay Benkner, PNP
Nurse Practitioner, Pediatrics in Troy, MI. National Provider Identifier 1104248129, active.
NPI record
| NPI | 1104248129 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 44201 Dequindre Rd Ste Ec, Troy, MI 48085 |
| Practice phone | 248-259-3088 |
| Mailing address | 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033 |
| Enumerated | January 9, 2014 |
| Last updated | July 27, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704386315 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.