Bennett, Timothy L.
Bennett, Timothy L. is an individual health care provider with primary practice located at 5520 College Boulevard Suite 480, Overland Park KS 66211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Bennett, Timothy L. can be contacted via phone (913) 696-5000.Contact Information
Primary practice address
5520 College Boulevard Suite 480
Overland Park KS 66211
Phone: (913) 696-5000
Fax: (913) 696-5005
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 2008011473 | Missouri |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 04-20677 | Kansas |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 04-20677 | Kansas |
Profile Details
NPI number | 1710096755 |
---|---|
LBN Legal business name | Bennett, Timothy L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2006 |
Last updated | Nov 19th, 2020 - about 4 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 | 1710096755 | NPPES |
Other | 625210 | FIRSTGUARD | |
Other | 10865061 | FIRSTGUARD | |
MEDICAID | 100160620B | FIRSTGUARD | |
Other | 160035366 | FIRSTGUARD |
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