Benko, Kimberly
Benko, Kimberly is an individual health care provider with primary practice located at 731 E Southlake Blvd 100, Southlake TX 76092-6377. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Benko, Kimberly can be contacted via phone (817) 424-3366.Contact Information
Primary practice address
731 E Southlake Blvd 100
Southlake TX 76092-6377
Phone: (817) 424-3366
Fax: (817) 424-3426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209005731 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 824389 | Texas |
Profile Details
| NPI number | 1720002637 |
|---|---|
| LBN Legal business name | Benko, Kimberly |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Mar 28th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720002637 | NPPES |
| Texas | Other | 00T04Z | GROUP NUMBER |
| Texas | Other | 1235135906 | GROUP NUMBER |
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