Bennett, John Melton

Bennett, John Melton is an individual health care provider with primary practice located at 209 Pauline Dr , Berea KY 40403-8889. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bennett, John Melton can be contacted via phone (859) 233-4511.

Contact Information

Primary practice address
209 Pauline Dr Berea KY 40403-8889
Phone: (859) 233-4511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30690 Kentucky
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 30690 Kentucky
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 30690 Kentucky
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 30690 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30690 Kentucky

Profile Details

NPI number 1851328074
LBN Legal business name Bennett, John Melton
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Apr 3rd, 2015 - about 9 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 1851328074 NPPES
Kentucky MEDICAID 64306905

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