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Individual
KIMBERLY STATLER BENNETT
Active
Individual
KIMBERLY STATLER BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
DR0053849
CO
2080P0203X
Pediatric Critical Care Medicine Physician
DR0053849
CO
Other
Enumeration date
11/03/2006
Last updated
05/14/2021
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