Provider Demographics
NPI:1003006271
Name:BENEZRA, KAREN M (DO)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:M
Last Name:BENEZRA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 827
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-0827
Mailing Address - Country:US
Mailing Address - Phone:207-608-6864
Mailing Address - Fax:888-972-4103
Practice Address - Street 1:1232 PORTLAND RD
Practice Address - Street 2:
Practice Address - City:ARUNDEL
Practice Address - State:ME
Practice Address - Zip Code:04046-8104
Practice Address - Country:US
Practice Address - Phone:207-608-6864
Practice Address - Fax:207-502-7211
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2022-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME1900207Q00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine