Provider Demographics
NPI:1063127579
Name:KENNEY-CANFIELD, BENSON EDWARD (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:BENSON
Middle Name:EDWARD
Last Name:KENNEY-CANFIELD
Suffix:
Gender:
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 SWIFTWATER RD
Mailing Address - Street 2:
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785-1447
Mailing Address - Country:US
Mailing Address - Phone:603-747-3740
Mailing Address - Fax:
Practice Address - Street 1:79 SWIFTWATER RD
Practice Address - Street 2:
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785-1447
Practice Address - Country:US
Practice Address - Phone:603-747-3740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH085100-21163W00000X
NH114025-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse