Individual provider · Type 1 NPI

Kerly Benjamin

Licensed Practical Nurse · Spring Valley, NY

NPI number 1104708650 Active

Practice location

42 N Main St
Spring Valley, NY 10977-4906

Mailing address

108 Union Rd Apt 3M
Spring Valley, NY 10977-3417

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X308902 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104708650

Kerly Benjamin's National Provider Identifier is 1104708650, issued on Jul 24, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Spring Valley, NY. The record was last updated on Jul 24, 2025.