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Mr. Kenneth Scott Bethel, RN,FNP
Family Nurse Practitioner in Elkhart, Indiana
NPI 1194093807

Kenneth Scott Bethel is a Family Nurse Practitioner based in Elkhart, IN and is specialized in Family. Kenneth Scott Bethel practices in Elkhart, IN and has the professional credentials of RN,FNP. The NPI Number for Kenneth Scott Bethel is 1194093807 and holds a License No. 28138800A (Indiana).

The current practice location address for Kenneth Scott Bethel is 236 Simpson Ave, Elkhart, IN and can be reached out via phone at 574-293-0052 and via fax at 574-293-7635.

Location: 236 Simpson Ave, Elkhart, IN, 46516-4666
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Provider Profile Details
NPI Number
1194093807
Provider Name
Kenneth Scott Bethel
Credential
RN,FNP
Provider Entity Type
Individual
Gender
Male
Address
236 Simpson Ave, Elkhart, IN, 46516-4666
Phone Number
574-293-0052
Fax Number
574-293-7635
Provider Enumeration Date
12/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201043130 05 IN
institution
Provider Business Practice Location Address Details
Address
236 Simpson Ave
City
State
Zip
46516-4666
Phone Number
574-293-0052
Fax Number
574-293-7635
person
Provider Business Mailing Address Details
Address
236 Simpson Ave
City
State
Zip
46516-4666
Phone Number
574-293-0052
Fax Number
574-293-7635
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28138800A (Indiana)
Definition
Definition to come...
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