Individual
BENNETT K ABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 S COURT ST STE F, VISALIA, CA 93277-4931
(559) 734-9244
(559) 734-9244
Mailing address
1700 S COURT ST STE F, VISALIA, CA 93277-4931
(559) 734-9244
(559) 734-6932
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A71688
CA
2085R0202X
Diagnostic Radiology Physician
Primary
RHL00165925
CA
2085R0204X
Vascular & Interventional Radiology Physician
A71688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511830
—
NV
01
—
222452
WC
NV
01
—
222453
WC
NV
01
—
CC6103
BCBS
NV
Enumeration date
08/24/2006
Last updated
03/19/2025
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