Individual
PROF. BENNETT L RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
737 E CRAWFORD ST, WEST BUILDING, SALINA, KS 67401-5103
(785) 827-7261
(785) 822-3095
Mailing address
737 E CRAWFORD ST, WEST BUILDING, SALINA, KS 67401-5103
(785) 827-7261
(785) 822-3095
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
05-25562
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100302190C
—
KS
01
—
106603
MEDICARE ID#
KS
Enumeration date
02/01/2006
Last updated
09/28/2011
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