Individual
KERRY-ANN T BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
185 LIVINGSTON AVE # 1, ALBANY, NY 12210-2532
(518) 366-6369
Mailing address
350 NORTHERN BLVD # 324, ALBANY, NY 12204-1000
(518) 366-6369
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
72486513
NY
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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