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Kenneth J Bennett, MD
Specialist in St Louis, Missouri
NPI 1528257698

Kenneth J Bennett is a Specialist based in Saint Louis, MO. Kenneth J Bennett practices in St Louis, MO and has the professional credentials of MD. The NPI Number for Kenneth J Bennett is 1528257698 and holds a License No. R4131 (Missouri).

The current practice location address for Kenneth J Bennett is 1040 N Mason Rd, St Louis, MO and can be reached out via phone at 314-878-7899 and via fax at 314-205-1020.

Location: 1040 N Mason Rd, St Louis, MO, 63141-6399
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528257698
Provider Name
Kenneth J Bennett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1040 N Mason Rd, St Louis, MO, 63141-6399
Phone Number
314-878-7899
Fax Number
314-205-1020
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1040 N Mason Rd
City
St Louis
State
Missouri
Zip
63141
Phone Number
314-878-7899
Fax Number
314-205-1020
person
Provider Business Mailing Address Details
Address
1040 N Mason Rd
City
St Louis
State
Missouri
Zip
63141
Phone Number
314-878-7899
Fax Number
314-205-1020
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
R4131 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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