Individual
KENNETH BEMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CS
Contact information
Practice address
714 TIGER LILY WAY, HIGHLANDS RANCH, CO 80126-5710
(303) 578-8001
Mailing address
13259 PINETREE LAKE DR, CHESTERFIELD, MO 63017-5923
(503) 740-4805
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
08/16/2010
Last updated
03/14/2023
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