Search › New Mexico › 103TC1900X
Kelly Bennett, PHD
NPI 1134302722 · on the registry since 2007 · sole proprietor
Practice
- Address
- 578 Via Arista
Santa Fe, NM 87506 - Phone
- (505) 577-1862
- Fax
- (505) 466-9459
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Also registered as
- 103TC1900X
- Licence states on file
- NM, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico