Gregory Bennett

NPI #1568333201 in Augusta, Kansas

Provider Information

NPI Number: 1568333201
Entity Type: Individual
Name: Gregory Bennett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Sep 16, 2025
Last Updated: Sep 16, 2025

Practice Location

Address: 14300 SW INDIANOLA RD
City: Augusta
State: Kansas
ZIP Code: 67010-7640
Phone: (316) 371-3644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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