Kenneth J Bennett, MD

NPI #1528257698 in St Louis, Missouri

Provider Information

NPI Number: 1528257698
Entity Type: Individual
Name: Kenneth J Bennett, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Oct 15, 2007
Last Updated: Aug 6, 2009

Practice Location

Address: 1040 N MASON RD
Address 2: STE G-03
City: St Louis
State: Missouri
ZIP Code: 63141
Phone: (314) 878-7899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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