SearchIdaho163W00000X

Keri Bennett

NPI 1750836169 · on the registry since 2016

Practice

Address
515 N 16th St
Payette, ID 83661
Phone
(208) 642-6416
Clinicians at this address
4

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163W00000X
Licence states on file
ID, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-16

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 Idaho