Individual
DR. KATHLEEN BENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Mailing address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
248669
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-2297845
UNITED HEALTH CARE
—
01
—
042297845
TRICARE
—
01
—
0816728
CIGNA
—
01
—
110089181A
MEDICAID
MA
01
—
1134136435
FALLON
—
01
—
769190
TUFTS AND TUFTS MEDICARE PREFERRED
—
01
—
AA217699
HARVARD PILGRIM
—
01
—
J49047
BCBSMA
MA
Enumeration date
08/01/2006
Last updated
03/17/2016
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