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Individual

PATRICK J. BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 745-1200
(270) 843-5020
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 745-1467
(270) 745-1417

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38821
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64081656
KY
Enumeration date
10/05/2005
Last updated
07/08/2007
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