Individual
MRS. HEATHER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
341 OFFICE PARK DR, COLUMBIA, KY 42728-1392
(270) 380-1601
Mailing address
3198 RUSSELL SPRINGS RD, COLUMBIA, KY 42728-8905
(270) 250-4223
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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