Kelly A. Bennett M.D.

NPI 1063404127 - Family Medicine - 207Q00000X

NPI Details
NPI 1063404127
Gender Female
Enumeration Date 08/16/2005
Last Updated 12/20/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
3601 4TH ST
LUBBOCK TX, 79430-0002, US
Phone (806) 743-2757
Fax (806) 743-2563
Business Location
PO BOX 5865
LUBBOCK TX, 79408-5865, US
Phone (806) 743-2898
Fax (806) 743-2787
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number K0417
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According to our database, Dr. Kelly A. Bennett M.D. NPI is 1063404127, taxonomy code is 207Q00000X and license number is K0417, license state is located at Texas. Kelly A. Bennett M.D. physically located at 3601 4th St, Lubbock TX, 79430-0002. NPI Number Kelly A. Bennett M.D. has the Individual type.

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1063404127 NPI number is provided on an as is basis without warranty of any kind. 1063404127 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly A. Bennett M.D. are for informational purposes only.