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Dr. Kenneth R. Bennett, MD
Cardiovascular Disease Physician in Jackson, Mississippi
NPI 1043254253

Kenneth R. Bennett is a Cardiovascular Disease Physician based in Jackson, MS and is specialized in Cardiovascular Disease. Kenneth R. Bennett practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Kenneth R. Bennett is 1043254253 and holds a License No. 05908 (Mississippi).

The current practice location address for Kenneth R. Bennett is 2500 North State Street, Jackson, MS and can be reached out via phone at 601-984-5678 and via fax at 601-984-5638.

Location: 2500 North State Street, Jackson, MS, 39216-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043254253
Provider Name
Kenneth R. Bennett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 North State Street, Jackson, MS, 39216-4500
Phone Number
601-984-5678
Fax Number
601-984-5638
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1552470 05 LA
180445 05 AL
RR 060049688 01 MS RAILROAD
00119359 05 MS
P00462157 01 MS RAILROAD MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2500 North State Street
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-5678
Fax Number
601-984-5638
person
Provider Business Mailing Address Details
Address
2500 North State Street
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-5678
Fax Number
601-984-5638
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
05908 (Mississippi)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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