Bennett, Kim D

Bennett, Kim D is an individual health care provider with primary practice located at 252 Rural Acres Dr , Beckley WV 25801-3503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bennett, Kim D can be contacted via phone (304) 252-8551.

Contact Information

Primary practice address
252 Rural Acres Dr Beckley WV 25801-3503
Phone: (304) 252-8551
Fax: (304) 252-1790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1988 West Virginia

Profile Details

NPI number 1295827814
LBN Legal business name Bennett, Kim D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 17th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295827814 NPPES
West Virginia MEDICAID 3004166000
West Virginia Other H90133
West Virginia Other 2145382
West Virginia Other 321488
West Virginia MEDICAID 54878
West Virginia MEDICAID 58941

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