# BENNETT SUPPLY AND SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295595106
- **Authorized official:** DAWNELE D TAYLOR APRN (OWNER)
- **Authorized official phone:** (316) 393-5256

## Contact information

- **Practice address:** 245 N WACO ST STE 220, WICHITA, KS 67202-1102
- **Practice address phone:** (316) 722-2138
- **Practice address fax:** (833) 464-2530
- **Mailing address:** 245 N WACO ST STE 220, WICHITA, KS 67202-1102
- **Mailing address phone:** (316) 722-2138
- **Mailing address fax:** (800) 735-8893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2024
- **Last updated:** 02/10/2025