Benn, Kiesha Nicole

Benn, Kiesha Nicole is an sole proprietor health care provider with primary practice located at 350 Michael Ct , Mary Esther FL 32569-2738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Benn, Kiesha Nicole can be contacted via phone (917) 826-1353.

Contact Information

Primary practice address
350 Michael Ct Mary Esther FL 32569-2738
Phone: (917) 826-1353
Fax: (973) 440-3309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X V4641 Texas

Profile Details

NPI number 1447468863
LBN Legal business name Benn, Kiesha Nicole
Credentials MD, FACOG
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated Sep 5th, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447468863 NPPES
Connecticut MEDICAID 1447468863

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