Provider Demographics
NPI:1861665911
Name:VESSELS, BENJAMIN EUGENE (MD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:EUGENE
Last Name:VESSELS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 E PARRISH AVE
Mailing Address - Street 2:BUILDING E, SUITE 205
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1449
Mailing Address - Country:US
Mailing Address - Phone:270-852-1645
Mailing Address - Fax:270-852-1646
Practice Address - Street 1:2200 E PARRISH AVE
Practice Address - Street 2:BUILDING E, SUITE 205
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1449
Practice Address - Country:US
Practice Address - Phone:270-852-1645
Practice Address - Fax:270-852-1646
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000047416207R00000X
KY45434207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine