Kimberly Renee Bennett

NPI #1306685052 in Madill, Oklahoma

Provider Information

NPI Number: 1306685052
Entity Type: Individual
Name: Kimberly Renee Bennett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 22, 2024
Last Updated: May 22, 2024

Practice Location

Address: 214 PLAZA
City: Madill
State: Oklahoma
ZIP Code: 73446-2251
Phone: (580) 565-4751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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