Individual provider · Type 1 NPI

Kenneth James Benjamin, D.P.M.

Foot & Ankle Surgery Podiatrist · Frederick, MD

NPI number 1932104007 Active · reactivated Apr 4, 2006

Practice location

198 Thomas Johnson Dr, Ste 4
Frederick, MD 21702-4398

Fax (301) 695-0346

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X00592 (MD)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1932104007

Kenneth James Benjamin, D.P.M.'s National Provider Identifier is 1932104007, issued on Jun 16, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Frederick, MD. The record was last updated on Jul 13, 2026.