Provider Demographics
NPI:1700885936
Name:KING, BENEE ALLEN (AUD)
Entity Type:Individual
Prefix:MS
First Name:BENEE
Middle Name:ALLEN
Last Name:KING
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:BENEE
Other - Middle Name:ALLEN
Other - Last Name:CONNELLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:2000 PERIMETER PARK DR
Mailing Address - Street 2:STE 200
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:800-594-8624
Mailing Address - Fax:
Practice Address - Street 1:34 HEALTHPARK WAY STE 100D
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-4497
Practice Address - Country:US
Practice Address - Phone:919-585-8850
Practice Address - Fax:919-585-8869
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3212231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7412262Medicaid
NC2699657AMedicare PIN