Michael Douglas Bennett, PA

NPI #1083085948 in Highland Heights, Kentucky

Provider Information

NPI Number
1083085948
Entity Type
Individual
Name
Michael Douglas Bennett, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Oct 16, 2015
Last Updated
Dec 5, 2023

Practice Location

Address
2626 ALEXANDRIA PIKE STE 100
ZIP Code
41076-1530
Phone
(859) 301-2663

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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