Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 10162 | NV |
N | 207R00000X | Internist | 10162 | NV |
N | 111NI0900X | Internist | 10162 | NV |
N | 207RC0000X | Internist - Cardiovascular Disease | 10162 | NV |
Y | 207RI0011X | Interventional Cardiology | 10162 | NV |
NPI | 1235207309 |
---|---|
Provider Name | Kathleen Marie Benson |
First Address | Las Vegas, NV 89102-1973 |
Second Address | Las Vegas, NV 89119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 19/11/2020 |