Provider Demographics
NPI:1811028236
Name:BENSON, KATHLEEN M (RN, BSN, CDE)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:M
Last Name:BENSON
Suffix:
Gender:F
Credentials:RN, BSN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CATALINA FOOTHILLS U.S.D.
Mailing Address - Street 2:2101 E. RIVER ROAD
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718
Mailing Address - Country:US
Mailing Address - Phone:520-299-6446
Mailing Address - Fax:520-577-5307
Practice Address - Street 1:CATALINA FOOTHILLS U.S.D.
Practice Address - Street 2:2101 E RIVER RD
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6508
Practice Address - Country:US
Practice Address - Phone:520-299-6446
Practice Address - Fax:520-577-5307
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN033698163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool