Bennett, Kristine M

Bennett, Kristine M is an individual health care provider with primary practice located at 532 W Park Cir , N Wilkesboro NC 28659-3547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bennett, Kristine M can be contacted via phone (336) 667-6600.

Contact Information

Primary practice address
532 W Park Cir N Wilkesboro NC 28659-3547
Phone: (336) 667-6600
Fax: (336) 748-2666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-04920 North Carolina

Profile Details

NPI number 1649204041
LBN Legal business name Bennett, Kristine M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 25th, 2020 - about 5 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 1649204041 NPPES
Illinois Other 0451514334 BCBS PROVIDER ID#
Illinois Other 85000828 BCBS PROVIDER ID#

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