Bentley, Kenneth
Bentley, Kenneth is an individual health care provider with primary practice located at 12303 Depaul Dr , Bridgeton MO 63304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Bentley, Kenneth can be contacted via phone (314) 344-6000.Contact Information
Primary practice address
12303 Depaul Dr
Bridgeton MO 63304
Phone: (314) 344-6000
Fax: (314) 514-6020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | R5N44 | Missouri |
Profile Details
| NPI number | 1902879794 |
|---|---|
| LBN Legal business name | Bentley, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jul 8th, 2011 - about 14 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 | 1902879794 | NPPES |
| Missouri | MEDICAID | 208845909 |
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