person
Dr. Kenneth James Benjamin, DPM
Foot & Ankle Surgery Podiatrist in Frederick, Maryland
NPI 1932104007

Kenneth James Benjamin is a Foot & Ankle Surgery Podiatrist based in Frederick, MD and is specialized in Foot & Ankle Surgery. Kenneth James Benjamin practices in Frederick, MD and has the professional credentials of DPM. The NPI Number for Kenneth James Benjamin is 1932104007 and holds a License No. 00592 (Maryland).

The current practice location address for Kenneth James Benjamin is 198 Thomas Johnson Dr, Frederick, MD and can be reached out via phone at 301-695-9669 and via fax at 301-695-0346.

Location: 198 Thomas Johnson Dr, Frederick, MD, 21702-4398
person
Provider Profile Details
NPI Number
1932104007
Provider Name
Kenneth James Benjamin
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
198 Thomas Johnson Dr, Frederick, MD, 21702-4398
Phone Number
301-695-9669
Fax Number
301-695-0346
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
998448 01 MD AETNA HEALTHCARE
K374 01 MD BLUE CROSS BLUE SHIELD
4081479 01 MD AETNA HEALTHCARE
9502 01 DC BLUE CROSS BLUE CHOICE
385141 01 MD UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
198 Thomas Johnson Dr
City
State
Zip
21702-4398
Phone Number
301-695-9669
Fax Number
301-695-0346
person
Provider Business Mailing Address Details
Address
198 Thomas Johnson Dr
City
State
Zip
21702-4398
Phone Number
301-695-9669
Fax Number
301-695-0346
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
00592 (Maryland)
Definition
Definition to come...
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