Individual provider · Type 1 NPI

Kimberly Benko, CNP

Family Nurse Practitioner · Southlake, TX

NPI number 1720002637 Active

Practice location

731 E Southlake Blvd, 100
Southlake, TX 76092-6377

Fax (817) 424-3426

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209005731 (IL)
Family Nurse Practitioner Primary 363LF0000X824389 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1720002637

Kimberly Benko, CNP's National Provider Identifier is 1720002637, issued on Jul 26, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southlake, TX. The record was last updated on Sep 29, 2026.