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Individual
KENNETH EDWARD BENNING
Active
Individual
KENNETH EDWARD BENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000163800
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23307
TN
Other
Enumeration date
12/08/2008
Last updated
12/08/2017
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