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Individual
MR. KEVIN RICHARD BENNETT
Active
Individual
MR. KEVIN RICHARD BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
RN517145L
PA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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