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1154869949
BENTON KIRBY
LEXINGTON, KY
NPI
1154869949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3010931)
Enumeration Date
2017-02-01
Last Update Date
2017-02-01
Business Address
-- BENTON KIRBY APRN
2250 LEESTOWN RD
LEXINGTON, KY 40511-1052
Phone number: 859-233-4511
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Mailing Address
-- BENTON KIRBY APRN
219 BUTTERCUP RD
MOUNT VERNON, KY 40456-7479
Phone number: 859-979-0001
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