Kimberly Ann Mcbennett
Internist Pediatric Pulmonologist
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
Kimberly Ann Mcbennett
Internist Pediatric Pulmonologist
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
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About
Features
Specialties
- Internist
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Kimberly Ann Mcbennett
- 20800 Harvard Rd 2nd Flr
- Highland Hills, OH
- Zip : 44122-7202
- Phone :
Second Address
- Kimberly Ann Mcbennett
- 11100 Euclid Ave
- Cleveland, OH
- Zip : 44106-1716
- Phone : (216) 844-7700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 35-082661 | OH |
| N | 111NI0900X | Internist | 35-082661 | OH |
| Y | 2080P0214X | Pediatric Pulmonologist | 35-082661 | OH |
National Provider Identifier
| NPI | 1144205592 |
|---|---|
| Provider Name | Kimberly Ann Mcbennett |
| First Address | Highland Hills, OH 44122-7202 |
| Second Address | Cleveland, OH 44106-1716 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2005 |
| Last Update Date | 09/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0454744 | IMCA - MEDICAID GROUP # (01) | OH |
| 1821035940 | AGMC (IMCA) MEDICARE TYPE 2 NPI # (01) | OK |
| 1841239274 | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # (01) | OH |
| 2579320 | (05) | OH |
| 3600271 | IMCA - MEDICARE GROUP # (01) | OH |
| I32885 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.