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Deactivated NPI 1356882914 Deactivated / Inactive NPI Male Practitioner

Kenneth J Benson , AAS

Specialist • Spokane, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Benson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 15, 2017
NPI Deactivation Date November 11, 2023
Total Practice Duration ~6 Years of Practice (2017 – 2023)

Professional Overview & Biography Verified Profile Summary

Kenneth Benson, AAS was a registered Specialist practicing in Spokane, WA. Throughout an active medical career spanning 6 years, Kenneth Benson provided care at the practice location at 601 W 1ST AVE until profile deactivation on 2023-11-11.

Practice Location & Contact Primary Location

Practice Address

601 W 1st Ave
1423

Spokane, WA 992013825

Telephone 5095707494
Fax 5095707412
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
108 Specialists

Practicing in Spokane, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA HA-60334517

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Laurie Payne , RD, CDE

Dietitian, Registered

NPI 1265514434

Registered Dietitian, Certified Diabetes Educator

Heidi Baird , RD

Dietitian, Registered

NPI 1295823334

Registered Dietitian

Debra Defrates , RD

Dietitian, Registered

NPI 1699863738

Registered Dietitian

Mohamed Bah , PMHNP

Nurse Practitioner

NPI 1790333748

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 11, 2023

Record deactivated on November 11, 2023

NPI Profile Active March 15, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 15, 2017

Registered at 601 W 1ST AVE, 1423, SPOKANE, WA 992013825 (Tel: 5095707494)

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Updated Business Mailing Address March 15, 2017

Registered at 3290H E JUMP OFF RD, VALLEY, WA 991819625 (Tel: 5095707494)

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Provider Name / Credentials Updated March 15, 2017

Recorded as KENNETH BENSON, AAS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2017

Specialist (License #HA-60334517 in WA)

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Initial NPI Registration & Enumeration March 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356882914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2017
Last Update: March 15, 2017
Deactivation Date: November 11, 2023

Mailing Address

3290h E Jump Off Rd

Valley, WA 991819625

Phone: 5095707494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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