Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMINE ELIJAH SUPERNOVA
ActiveBENJAMINE ELIJAH SUPERNOVA is a Case Manager healthcare provider located in SHELBYVILLE, Kentucky. NPI 1770284036 is currently active in the NPPES registry. Verify at CMS.
Case Manager · SHELBYVILLE, KY
Registration Details
- NPI Number
- 1770284036
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2023 (3.4552305267569 yrs)
- Last Updated
- Mar 14, 2023
Practice Information
- Address
-
213 MIDLAND BLVDSHELBYVILLE, KY, 400657791Browse KY providers · Browse ZIP 40065
- Phone
- 5026470154
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in SHELBYVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| HALLIE CARMAN | — | 1063748663 |
| MRS. MARY DAVIS STEINHILBER | — | 1316281629 |
| MELISSA SEASTRAND | — | 1043735145 |
| NAKELA CLEVELAND | — | 1891317335 |
| VIOLA BRAMBILA | TCM, SUD | 1437030111 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.