Individual
EVERETT G. BENNETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11001 HAUSER ST, LENEXA, KS 66210-3708
(913) 353-4703
(913) 353-4031
Mailing address
11001 HAUSER ST., LENEXA, KS 66210
(913) 353-4703
(949) 543-2954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-77127-041
KS
Other
Enumeration date
02/23/2016
Last updated
08/08/2024
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