Bennett, Kim E
Bennett, Kim E is an individual health care provider with primary practice located at 6109 W Ramsey St , Banning CA 92220-3051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bennett, Kim E can be contacted via phone (951) 845-0313.Contact Information
Primary practice address
6109 W Ramsey St
Banning CA 92220-3051
Phone: (951) 845-0313
Fax: (909) 796-4158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PA17027 | California |
Profile Details
| NPI number | 1992733141 |
|---|---|
| LBN Legal business name | Bennett, Kim E |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Dec 3rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992733141 | NPPES |
| California | MEDICAID | OPA170270 |
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