Individual
DONALD WALTER BENNETT
Active
Individual
DONALD WALTER BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23368
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200101170
—
IN
05
—
64233687
—
KY
Enumeration date
12/02/2005
Last updated
09/23/2013
Update your record
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