Kimberly Bennett

NPI 1740428754 · on the registry since 2009 · sole proprietor

Practice

Address: 765 Allens Ave
Suite 102
Providence, RI 02905
Phone: (401) 490-8900
Fax: (401) 490-2619
Organisation at this address: Lifespan Corporation
Northeast Orthotics & Prosthetics, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 69

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: RI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-01-29

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 Rhode Island